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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 RexburgInferred 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