Individual
DR. BRENDAN BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-8465
(660) 890-8463
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-8465
(660) 890-8463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008018535
MO
207Q00000X
Family Medicine Physician
36115421
IL
Other
Enumeration date
06/04/2006
Last updated
11/12/2021
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