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Contact Information

JOHN C BAGWELL, MD
203 HOSPITAL DR
RATON, NM87740-2012
 Phone: 575-445-7739
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN C BAGWELL · (Male)

NPI # 1568424356
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2006
Last updated 07/15/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 070527
  • NM License # 91-4
  • TX License # D3140
Hospital affiliation(s)
  • ARTESIA GENERAL HOSPITAL - (Acute Care)
    702 N 13TH STREET
    ARTESIA, NM 88210
  • EASTERN NEW MEXICO MEDICAL CENTER - (Acute Care)
    405 W COUNTRY CLUB ROAD
    ROSWELL, NM 88201
  • LOVELACE REGIONAL HOSPITAL - ROSWELL - (Acute Care)
    117 EAST 19TH STREET
    ROSWELL, NM 88201
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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