BRETT GERALD BAGLEY

REXBURG, ID
NPI1932254133
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-215)
Enumeration Date2007-01-25
Last Update Date2018-06-26
Business Address
Mr. BRETT GERALD BAGLEY P.A. - Certified
556 TREJO ST SUITE B
REXBURG, ID 83440
Phone number: 208-359-2263
Mailing Address
Mr. BRETT GERALD BAGLEY P.A. - Certified
534 TREJO ST STE 400
REXBURG, ID 83440-5405
Phone number: 208-359-2263
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