MR. Brett Gerald Bagley, P.A. - CERTIFIED
NPI #1932254133 in Rexburg, Idaho
Provider Information
- NPI Number
- 1932254133
- Entity Type
- Individual
- Name
- MR. Brett Gerald Bagley, P.A. - CERTIFIED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A. - CERTIFIED
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Jun 26, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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