Individual
CARRIE J BAGATELL
Active
Individual
CARRIE J BAGATELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00024887
WA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD00024887
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110214053
RR MEDICARE
WA
05
—
1112044
—
WA
Enumeration date
08/17/2005
Last updated
05/12/2014
Update your record
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