Organization
OLIVER DALE BAGLEY D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVER D. BAGLEY D.P.M. (OWNER)
(530) 244-0674
Entity
Organization
Contact information
Practice address
1310 CONTINENTAL ST, REDDING, CA 96001-0839
(530) 244-0674
(530) 244-1033
Mailing address
1310 CONTINENTAL ST, REDDING, CA 96001-0839
(530) 244-0674
(530) 244-1033
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E1237
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E1237
CA
Other
Enumeration date
04/07/2008
Last updated
07/06/2009
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