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Individual

RALPH BAGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
550 W 7TH AVE, SUITE 601, ANCHORAGE, AK 99501-3514
(907) 269-7342
(907) 269-7321
Mailing address
550 W 7TH AVE, SUITE 601, ANCHORAGE, AK 99501-3514
(907) 269-7342
(907) 269-7321

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
997
AK

Other

Enumeration date
02/11/2008
Last updated
06/25/2009
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