Individual
AMANDA DAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01084596A
IN
207N00000X
Dermatology Physician
Primary
30216
MS
207N00000X
Dermatology Physician
321999
LA
Other
Enumeration date
04/27/2016
Last updated
01/26/2023
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