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Dr. Jonathan Bagley, M.D.

Anesthesiology in Jackson, MS. Individual provider (NPI-1).

NPI number1306100771
StatusActive
Last updated in NPPESJun 29, 2012

Details

NPI
1306100771
Entity type
Individual (NPI-1)
Name
Dr. Jonathan Bagley
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 29, 2012
Last updated
Jun 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyT-2531MSYes

Practice location

2500 N State St
Department Of Anesthesiology
Jackson, MS 39216-4500

Phone 601-984-5914 · Fax 601-984-5915

Mailing address

2500 N State St
Department Of Anesthesiology
Jackson, MS 39216-4500

Phone 601-984-5914 · Fax 601-984-5915

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