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NPI Code Detail

MEDICARE: FRANK JOHN MIRAGLIA M.D.

MEDICARE:   FRANK JOHN MIRAGLIA  M.D.
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
1208000000XPediatrics PhysicianG31582CA

General Provider Information

NPI Number : 1336172220
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK JOHN MIRAGLIA M.D.
Provider Business Mailing Address
First Line : 3883 AIRWAY DR
Second Line : SUITE 120
City : SANTA ROSA
State : CA
Zip : 95403-1670
Country : US
Telephone Number : 707-521-8966
Fax Number :
Provider Business Practice Location Address
First Line : 3883 AIRWAY DR
Second Line : SUITE 120
City : SANTA ROSA
State : CA
Zip : 95403-1670
Country : US
Telephone Number : 707-521-8966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 07/16/2013

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Directions to “ FRANK JOHN MIRAGLIA M.D.” Practice Location

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