Ronald Demetric Bagley, IDMT Valid NPI

Individual provider · Independent Duty Medical Technicians · Apo, AP

NPI

1689804254

Type

Individual (Type 1)

Primary specialty

Independent Duty Medical Technicians (Military Health Care Provider)

Specialty group

Other Service Providers

Taxonomy code

1710I1003X

Sex

Male

Sole proprietor

No

Enumerated

2009-07-17

Last updated

2009-07-17