Individual
MR. DONALD WILLIAM BAGNALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
986 FOREST RD, NEW HAVEN, CT 06515-2501
(203) 397-5749
(203) 389-2249
Mailing address
9 STURBRIDGE LN, WOODBRIDGE, CT 06525-1512
(203) 389-5749
(203) 389-2249
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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