SCOTT BAGENSTOSE MD

Allergy and Immunology

Gahanna, Ohio

Provider NPI: 1326000472

Provider Information:
 SCOTT  BAGENSTOSE MD


Practice Location:
1110 BEECHER CROSSING N STE C  GAHANNA, OH 43230 US
Tel: 614-933-0312  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	OH	35081229B

Other Provider Identifiers:

Issuer	Number	State	Type
	2523513	OH	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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