Individual
JOSEPH MAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
Mailing address
40402 292ND AVE SE, ENUMCLAW, WA 98022-9767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60306035
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300042
L&I
WA
01
—
G8911875
MEDICARE
WA
Enumeration date
06/25/2008
Last updated
11/29/2012
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