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Individual
DR. SAM BAGLEY
Active
Individual
DR. SAM BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4341A
WY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4131A
WY
Other
Enumeration date
09/27/2008
Last updated
09/27/2008
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