Individual
CALLIE TUCKER DAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 733-0311
Mailing address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 733-0311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD451215
PA
207P00000X
Emergency Medicine Physician
MT198941
PA
Other
Enumeration date
05/04/2011
Last updated
07/01/2014
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