MR. John Bagley, P.A.-C

NPI #1154519312 in Lincoln, Nebraska

Provider Information

NPI Number: 1154519312
Entity Type: Individual
Name: MR. John Bagley, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Oct 11, 2007
Last Updated: Oct 11, 2007

Practice Location

Address: 4201 S 14TH ST
City: Lincoln
State: Nebraska
ZIP Code: 68502-5336
Phone: (402) 479-3292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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