IndividualActive
Michael Bagley, IDC
NPI 1609088830 · Independent Duty Corpsman · Honolulu, HI
Provider details
- NPI number
- 1609088830
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
4922 Kamehameha Loop
Honolulu, HI 96818-5033
Phone: (808) 218-3650
Approximate (ZIP-level) locationGet directions
Mailing address
4922 Kamehameha Loop
Honolulu, HI 96818-5033
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.