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DR. JOEL KEVIN BAGLEY MD
>> Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1679952972
Individual Registrant:DR. JOEL KEVIN BAGLEY MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1311A N MILDRED RD CORTEZ, CO 81321-2231 US
Tel: 970-565-8556 Fax: --
Tel: 970-565-8556 Fax: --
Contact information for business:
1311 N MILDRED RD CORTEZ, CO 81321-2231 US
Tel: 970-564-2152 Fax: --
Tel: 970-564-2152 Fax: --
Registration Information:
NPI: 1679952972
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208600000X | Allopathic & Osteopathic Physicians Surgery | CO | DR.0067097 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
