Individual
DR. BRADLEY ALLAN DAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
473 MAJESTIC PINES DRIVE, MAMMOTH LAKES, CA 93546-2738
(760) 934-1694
Mailing address
PO BOX 2738, MAMMOTH LAKES, CA 93546-2738
(760) 934-1694
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
G26243
CA
Other
Enumeration date
12/22/2006
Last updated
04/12/2026
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