Individual
RICHARD WILLIAM NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
(814) 877-6149
Mailing address
717 STATE ST, SUITE 16, ERIE, PA 16501-1341
(814) 480-7100
(814) 480-7604
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD028963E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025816801
UNIVERA
NY
05
—
0010746260015
—
PA
01
—
00940161
NY MEDICAL ASSISTANCE
NY
01
—
086601
UNISON - HAMOT RADIOLOGY
PA
01
—
1068842
WEST VIRGINIA WORK COMP
WV
01
—
124311
BLUE SHIELD
PA
01
—
147546
UNISON - IMAGING CENTER
PA
01
—
1512635
GATEWAY
PA
01
—
219069
UPMC
PA
01
—
300104087
RR MEDICARE
PA
01
—
3364045
AETNA
PA
01
—
666328
OH MEDICAL ASSISTANCE
OH
Enumeration date
07/19/2005
Last updated
05/12/2008
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