Individual
MR. DAVID M PAGNANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5604 SW LEE BLVD, SUITE 357, LAWTON, OK 73505-9681
(580) 531-4600
(580) 531-6405
Mailing address
5604 SW LEE BLVD, SUITE 357, LAWTON, OK 73505-9681
(580) 531-4600
(580) 531-6405
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23774
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200035200A
—
OK
Enumeration date
09/13/2005
Last updated
01/24/2011
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