Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY ALLAN DAIGLE, M.D.
Active Sole ProprietorDR. BRADLEY ALLAN DAIGLE, M.D. is a Contractor healthcare provider located in MAMMOTH LAKES, California. NPI 1871658500 is currently active in the NPPES registry. Verify at CMS.
Contractor · MAMMOTH LAKES, CA
Registration Details
- NPI Number
- 1871658500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2006 (19.664153184551 yrs)
- Last Updated
- Mar 6, 2013
- License
-
G26243 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
473 MAJESTIC PINES DRIVEMAMMOTH LAKES, CA, 935462738Browse CA providers · Browse ZIP 93546
- Phone
- 7609341694
- Primary Specialty
-
Contractor
171W00000X
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.