Oliver Dale Bagley D.p.m., Inc.

NPI 1245403666 - Podiatrist - 213ES0103X

NPI Details
NPI 1245403666
Enumeration Date 04/07/2008
Last Updated 07/06/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name OLIVER D. OLIVER
Position OWNER
Phone (530) 244-0674
Fax (530) 244-1033
Practice Location
1310 CONTINENTAL ST
REDDING CA, 96001-0839, US
Phone (530) 244-0674
Fax (530) 244-1033
Business Location
1310 CONTINENTAL ST
REDDING CA, 96001-0839, US
Phone (530) 244-0674
Fax (530) 244-1033
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E1237
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According to our database, Oliver Dale Bagley D.p.m., Inc. NPI is 1245403666, taxonomy code is 213ES0103X and license number is E1237, license state is located at California. Oliver Dale Bagley D.p.m., Inc. physically located at 1310 Continental St, Redding CA, 96001-0839. NPI Number 1033115704 has the healthcare provider type.

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1245403666 NPI number is provided on an as is basis without warranty of any kind. 1245403666 is maintained by the National Plan & Provider Enumeration System. The contents of Oliver Dale Bagley D.p.m., Inc. are for informational purposes only.