Individual
DR. JOHN RAND BAGGESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7101 JAHNKE RD, SUITE 550-A, RICHMOND, VA 23225-4017
(804) 560-3295
(888) 526-2112
Mailing address
7101 JAHNKE RD, SUITE 550-A, RICHMOND, VA 23225-4017
(804) 560-3295
(888) 526-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057853
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417932641
—
VA
Enumeration date
12/09/2005
Last updated
02/11/2015
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