Individual
JOHN J BAGLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7660 E PARHAM RD, SUITE 208, RICHMOND, VA 23294-4378
(804) 527-5866
(804) 527-5869
Mailing address
PO BOX 11768, RICHMOND, VA 23230-0168
(804) 353-4000
(804) 213-9783
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101018534
VA
Other
Enumeration date
03/17/2006
Last updated
10/17/2007
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