BEAU J BAGLEY

COVINGTON, LA
NPI1366439572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: LA  14743R)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: AL  26611)
Enumeration Date2005-10-03
Last Update Date2013-03-30
Business Address
Dr. BEAU J BAGLEY MD
1331 OCHSNER BLVD SUITE 100
COVINGTON, LA 70433-8177
Phone number: 985-234-0490
Mailing Address
Dr. BEAU J BAGLEY MD
PO BOX 2013
MANDEVILLE, LA 70470-2013
Phone number: 504-237-1430
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