Individual
GRANT P BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 TWELFTH ST NW, WASHINGTON, DC 20004
(202) 942-5928
Mailing address
1101 FRANCIS AVE, BALTIMORE, MD 21227
(410) 242-9216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD3984
DC
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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