Individual
JAGJIT MANGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 HIGHLAND AVE, CLARKSTON, WA 99403-2829
(509) 758-5511
Mailing address
PO BOX 17130, RENO, NV 89511-3103
(480) 620-7181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2002-0206
NM
207Q00000X
Family Medicine Physician
Primary
MD60249786
WA
Other
Enumeration date
06/14/2006
Last updated
05/23/2013
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