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Contact Information

SAM BAGLEY, MD
401 VIDUTA PL SE
HUNTSVILLE, AL35801-1031
 Phone: 256-714-2684
 Fax: 256-489-7119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for SAM BAGLEY · (Male)

NPI # 1083864904
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2008
Last updated 09/27/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 4131A
  • WY License # 4341A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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