Individual
DR. PAULA D BAGLIONI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2912 N WEST ST, FLAGSTAFF, AZ 86004-1974
(928) 774-3627
(928) 774-1400
Mailing address
2912 N WEST ST, FLAGSTAFF, AZ 86004-1974
(928) 774-3627
(928) 774-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27693
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
474007
AHCCCS
AZ
Enumeration date
11/17/2005
Last updated
07/08/2007
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