PAUL M DAGENAIS

PERMANENTE MEDICAL GROUP INC

Dr PAUL M DAGENAIS is a male medical professional, specializing in Family Medicine. He graduated in 2011 from Saint Louis University School Of Medicine.

Contact

PERMANENTE MEDICAL GROUP INC

10725 INTERNATIONAL DR
RANCHO CORDOVA
CA
956707967

Tel: 9166313000

PAUL M DAGENAIS Information

Npi 1447545249
Pac Id 7911225842
Professional Enrollment Id I20151111000065
Last Name DAGENAIS
First Name PAUL
Middle Name M
Suffix
Gender M
Credential
Medical School Name SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1 SPORTS MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties SPORTS MEDICINE
Organization Legal Name PERMANENTE MEDICAL GROUP INC
Group Practice Pac Id 8921910225
Number Of Group Practice Members 7392
Line 1 Street Address 10725 INTERNATIONAL DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RANCHO CORDOVA
State CA
Zip Code 956707967
Phone Number 9166313000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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