Organization
JOHN J. BAGLEY, JR, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. BAGLEY JR. M.D. (PRESIDENT)
(804) 527-5866
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006209475
—
VA
Enumeration date
03/21/2006
Last updated
08/05/2008
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