Sam Bagley M.D.

NPI 1083864904 - Anesthesiology - 207LC0200X

NPI Details
NPI 1083864904
Gender Male
Enumeration Date 09/27/2008
Last Updated 09/27/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
401 VIDUTA PL SE
HUNTSVILLE AL, 35801-1031, US
Phone (256) 714-2684
Fax (256) 489-7119
Business Location
401 VIDUTA PL SE
HUNTSVILLE AL, 35801-1031, US
Phone (256) 714-2684
Fax (256) 489-7119
Toxanomy
Taxonomy Code 207LC0200X
License State Wyoming
License Number 4131A
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According to our database, Dr. Sam Bagley M.D. NPI is 1083864904, taxonomy code is 207LC0200X and license number is 4131A, license state is located at Wyoming. Sam Bagley M.D. physically located at 401 Viduta Pl Se, Huntsville AL, 35801-1031. NPI Number Sam Bagley M.D. has the Individual type.

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1083864904 NPI number is provided on an as is basis without warranty of any kind. 1083864904 is maintained by the National Plan & Provider Enumeration System. The contents of Sam Bagley M.D. are for informational purposes only.