Individual
MICHAEL C. BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 W 144TH AVE, SUITE 230, WESTMINSTER, CO 80023-9307
(303) 469-6790
(303) 469-6794
Mailing address
80 HEALTH PARK DR, SUITE 230, LOUISVILLE, CO 80027-9584
(303) 665-2603
(303) 665-2605
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
#45154
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840864756
TAX IDENTIFICATION
CO
Enumeration date
07/24/2006
Last updated
12/02/2014
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