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NPI Code Detail

MEDICARE: FRANK B MAGILL JR. M.D.

MEDICARE:   FRANK B MAGILL JR. 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
1207R00000XInternal Medicine PhysicianMD00038914WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AB18480OTHERWAMEDICARE RHC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649222852
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK B MAGILL JR. M.D.
Provider Business Mailing Address
First Line : 915 SHERIDAN ST
Second Line : SUITE B103
City : PORT TOWNSEND
State : WA
Zip : 98368-2931
Country : US
Telephone Number : 360-385-4848
Fax Number : 360-379-4383
Provider Business Practice Location Address
First Line : 915 SHERIDAN ST
Second Line : SUITE B103
City : PORT TOWNSEND
State : WA
Zip : 98368-2931
Country : US
Telephone Number : 360-385-4848
Fax Number : 360-379-4383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 09/06/2011

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Directions to “ FRANK B MAGILL JR. M.D.” Practice Location

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