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Organization

BRAZOS VALLEY OBSTETRIC HOSPITALIST, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINIC BAGNOLI (EXECUTIVE CHAIRMAN)
(330) 493-4443
Entity
Organization

Contact information

Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(844) 474-4019
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(844) 474-4019

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
06/05/2015
Last updated
09/23/2024
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