Individual
DR. JACK RYAN BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2596 F RD, GRAND JUNCTION, CO 81505-1443
(970) 254-3180
Mailing address
PO BOX 1687, GRAND JUNCTION, CO 81502-1687
(970) 256-6322
(970) 263-2691
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
DR.0055700
CO
Other
Enumeration date
04/26/2010
Last updated
11/24/2015
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