Damon Bagley-Ayres, CPO

NPI #1497126775 in Jackson, Mississippi

Provider Information

NPI Number: 1497126775
Entity Type: Individual
Name: Damon Bagley-Ayres, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CPO
Enumeration Date: Oct 13, 2015
Last Updated: Jun 9, 2016

Practice Location

Address: 777 LAKELAND DR
City: Jackson
State: Mississippi
ZIP Code: 39216-4611
Phone: (601) 815-4844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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