Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARIO BAGALLON, RADIOLOGY TECH
ActiveMR. MARIO BAGALLON, RADIOLOGY TECH is a Radiologic Technologist healthcare provider located in SHAFTER, California. NPI 1578725461 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · SHAFTER, CA
Registration Details
- NPI Number
- 1578725461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2008 (18.093166172306 yrs)
- Last Updated
- Jul 1, 2008
- License
-
RHP00089002 (CA)
Practice Information
- Address
-
655 S CENTRAL VALLEY HWYSHAFTER, CA, 932632790Browse CA providers · Browse ZIP 93263
- Phone
- 6617469194
- Fax
- 6617469197
- Primary Specialty
-
Radiologic Technologist
247100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.