Individual
ADAM K BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4403 HARRISON BLVD STE 2400, OGDEN, UT 84403-3297
(801) 387-2750
Mailing address
4403 HARRISON BLVD STE 2400, OGDEN, UT 84403-3297
(801) 387-2750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10518134-1206
UT
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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