Individual
CHAD AARON BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 635-3711
Mailing address
541 W 40TH ST, SCOTTSBLUFF, NE 69361-0608
(801) 891-4608
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101080
NE
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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