Search › California › 106H00000X
Wylie Bagley, PHD
NPI 1487666186 · on the registry since 2006
Practice
- Address
- 3585 Hawver Rd.
San Andreas, CA 95249 - Phone
- (209) 754-1249
- Organisation at this address
- Oakendell Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 902 Deville Ln, Ruston, LA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106H00000X
- Licence states on file
- LA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California