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1598783128
JOHN TODD BAGWELL
IDAHO FALLS, ID
NPI
1598783128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: ID M-13554)
Enumeration Date
2006-07-18
Last Update Date
2023-08-23
Business Address
JOHN TODD BAGWELL M.D.
3200 CHANNING WAY STE 306
IDAHO FALLS, ID 83404-7546
Phone number: 208-535-4475
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Mailing Address
JOHN TODD BAGWELL M.D.
PO BOX 277381
ATLANTA, GA 30384-7381
Phone number:
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