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NPI Profile for HAYLEY A BAGWELL in BROOMFIELD, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Electroneurodiagnostic |
246ZE0600X |
| NPI # | 1710280797 |
|
| Status | Active | |
| Credentials | CNIM | |
| Entity | Individual | |
| Enumeration date | 12/13/2010 | |
| Last updated | 12/13/2010 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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HAYLEY A BAGWELL
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HAYLEY A BAGWELL, CNIM