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Individual
DR. STEPHEN JOSEPH BAGLEY
Active
Individual
DR. STEPHEN JOSEPH BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT200466
PA
207RH0003X
Hematology & Oncology Physician
Primary
MT200466
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT200466
PA
Other
Enumeration date
06/15/2011
Last updated
04/11/2017
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