NPI 1003502303

Andrew Myles Tagle, DO

Practitioner Student in an Organized Health Care Education/Training Program Mount Vernon, WA

Practice location

Address: 819 S 13th St, Mount Vernon, WA 98274-4112
Phone: (360) 814-6230

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence OL61434148 (WA)

Other Student in an Organized Health Care Education/Training Program providers in Washington →

Registry record

NPI: 1003502303
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2023
Record last updated: 10 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.