Individual
DR. TERRY L BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13451 N 94TH DR, PEORIA, AZ 85381-5056
(623) 303-7101
Mailing address
1776 WOODSTEAD CT, STE 208, THE WOODLANDS, TX 77380-1480
(281) 724-3100
(281) 724-3100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
31433
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914300
—
AZ
01
—
AZ0765480
BLUE CROSS BLUE SHIELD
AZ
01
—
DC9137
RAILROAD MEDICARE
AZ
Enumeration date
05/20/2006
Last updated
11/26/2025
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