SearchIdahoMedical Physician Assistant

Brett Bagley, P.A. - CERTIFIED

NPI 1932254133 · on the registry since 2007 · sole proprietor

Practice

Address
556 Trejo St
Suite B
Rexburg, ID 83440
Phone
(208) 359-2263
Fax
(208) 359-2042
Organisation at this address
Vista Healthcare Pc
Eagle Rock Dental Care Of Rexburg
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-26

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 Idaho