Organization
ERNEST A BAGNER III MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST A BAGNER III M.D. (PRESIDENT)
(818) 291-9827
Entity
Organization
Contact information
Practice address
541 W COLORADO ST, 207, GLENDALE, CA 91204-3638
(818) 291-9827
(818) 291-9822
Mailing address
541 W COLORADO ST, 207, GLENDALE, CA 91204-3638
(818) 291-9827
(818) 291-9822
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
W19781
CA
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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