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Individual

JUSTIN MICHAEL BAGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
223 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 972-0063
Mailing address
223 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 972-0063

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-9470
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/16/2013
Last updated
06/28/2019
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