Calle A Gonzales-Bagdon in Moses Lake - Pediatrics

Calle A Gonzales-Bagdon - NPI 1447360359

Calle A Gonzales-Bagdon is a Pediatrics in Moses Lake, Washington. Calle A Gonzales-Bagdon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Calle A Gonzales-Bagdon is 1447360359. The last update date is 2022-11-18.

Calle A Gonzales-Bagdon's current location address is 660 S Coolidge St, Moses Lake, Washington. You can contact this provider via phone number 5097939715 and fax number 5097643244. The mailing address for Calle A Gonzales-Bagdon is 660 S Coolidge St, Moses Lake, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Calle A Gonzales-Bagdon
Address 660 S Coolidge St, Moses Lake, Washington
Phone Number 5097939715
Fax Number 5097643244
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1447360359
Provider Enumeration Date 2006-08-30
Last Updated Date 2022-11-18

Provider Mailing Address Detail

Address 660 S Coolidge St
City Moses Lake
State Washington (WA)
Post Code 988371872
Phone Number 5097939715
Fax Number 5097643244

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MED-PHYS-LIC
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2168392 WA --
MD34321 AK --

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FAQs about Calle A Gonzales-Bagdon

What is the unique identification code assigned to Calle A Gonzales-Bagdon by the Centers for Medicare & Medicaid Services?

The Calle A Gonzales-Bagdon has been issued the NPI (National Provider Identifier) 1447360359. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Calle A Gonzales-Bagdon located?

The Calle A Gonzales-Bagdon is located at 660 S Coolidge St, Moses Lake, WA 988371872.

What is Calle A Gonzales-Bagdon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Calle A Gonzales-Bagdon's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

When did Calle A Gonzales-Bagdon receive its 1447360359 assignment?

The Calle A Gonzales-Bagdon was assigned its 1447360359 on 2006-08-30, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Calle A Gonzales-Bagdon most recently updated or revised?

The information pertaining to Calle A Gonzales-Bagdon, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-18.

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