Terry L Bagley M.D.

NPI 1053365213 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1053365213
Gender Male
Enumeration Date 05/20/2006
Last Updated 05/09/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3700 N WINDSONG DR
PRESCOTT VALLEY AZ, 86314-1253, US
Phone (928) 772-6951
Fax (928) 772-6971
Business Location
13236 N 7TH ST
STE 4 BOX 294
PHOENIX AZ, 85022-5343, US
Phone (928) 772-6951
Fax (928) 772-6971
Toxanomy
Taxonomy Code 208100000X
License State Arizona
License Number 31433
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According to our database, Dr. Terry L Bagley M.D. NPI is 1053365213, taxonomy code is 208100000X and license number is 31433, license state is located at Arizona. Terry L Bagley M.D. physically located at 3700 N Windsong Dr, Prescott Valley AZ, 86314-1253. NPI Number Terry L Bagley M.D. has the Individual type.

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1053365213 NPI number is provided on an as is basis without warranty of any kind. 1053365213 is maintained by the National Plan & Provider Enumeration System. The contents of Terry L Bagley M.D. are for informational purposes only.