# JOHN J. BAGLEY, JR, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215996053
- **Authorized official:** DR. JOHN J. BAGLEY JR. M.D. (PRESIDENT)
- **Authorized official phone:** (804) 527-5866

## Contact information

- **Practice address:** 7660 E PARHAM RD, SUITE 208, RICHMOND, VA 23294-4378
- **Practice address phone:** (804) 527-5866
- **Practice address fax:** (804) 527-5869
- **Mailing address:** PO BOX 11768, RICHMOND, VA 23230-0168
- **Mailing address phone:** (804) 353-4000
- **Mailing address fax:** (804) 213-9783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 08/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006209475 | — | VA |