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NPI Code Detail

MEDICARE: DAVID JAMES BAGGETT

MEDICARE:   DAVID JAMES BAGGETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist347MT

General Provider Information

NPI Number : 1548688021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID JAMES BAGGETT
Provider Business Mailing Address
First Line : 1292 BURNS WAY
Second Line :
City : KALISPELL
State : MT
Zip : 59901-8766
Country : US
Telephone Number : 406-890-0678
Fax Number : 406-257-2456
Provider Business Practice Location Address
First Line : 1292 BURNS WAY
Second Line :
City : KALISPELL
State : MT
Zip : 59901-8766
Country : US
Telephone Number : 406-890-0678
Fax Number : 406-257-2456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2014
Last Update Date : 11/18/2015

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Directions to “ DAVID JAMES BAGGETT ” Practice Location

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