Individual
DR. DANE W BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6945 UNIVERSITY DR NW STE G, HUNTSVILLE, AL 35806-1789
(256) 325-6950
Mailing address
6945 UNIVERSITY DR NW STE G, HUNTSVILLE, AL 35806-1789
(256) 325-6950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-981-TA-566
AL
Other
Enumeration date
06/27/2005
Last updated
07/12/2012
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