Individual
JARROD BAGLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
12433 FORT ST, DRAPER, UT 84020-9363
(801) 576-1086
(801) 576-9796
Mailing address
12433 FORT ST, DRAPER, UT 84020-9363
(801) 576-1086
(801) 576-9796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2673844405
UT
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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