Seth Charles Bagan, MD
Family Medicine in Shoreline, WA. Individual provider (NPI-1).
NPI number1245206200
StatusActive
Last updated in NPPESSep 12, 2012
Details
- NPI
- 1245206200
- Entity type
- Individual (NPI-1)
- Name
- Seth Charles Bagan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2006
- Last updated
- Sep 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00040378 | WA | Yes |
Practice location
1355 N. 205th St.Shoreline, WA 98133
Phone 617-414-2080 · Fax 617-414-2090
Mailing address
Po Box 50095Seattle, WA 98145
Phone 206-543-6420
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