Doctor Name: | DAVID AGLER |
NPI Number: | 1427109321 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD00047236 |
Business Practice Address: | 6533 W Emerald St Boise, ID - 837048737 |
Business Phone Number: | 2083674170 |
Business Fax Number: | 2083678135 |
Mailing Address: | 6533 W Emerald St, BOISE |
State: | ID |
Postal Code: | 837048737 |
Phone Number: | 2083674170 |
Fax Number: | 2083678135 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD00047236 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |