JACK RYAN BAGLEY

COLORADO WEST HEALTHCARE SYSTEM

Dr JACK RYAN BAGLEY is a male medical professional, specializing in Radiation Oncology. He graduated in 2010 from Medical College Of Wisconsin.

Contact

COLORADO WEST HEALTHCARE SYSTEM

2596 F RD
GRAND JUNCTION
CO
815051443

Tel: 9702543180

JACK RYAN BAGLEY Information

Npi 1225355670
Pac Id 5395048672
Professional Enrollment Id I20160120001242
Last Name BAGLEY
First Name JACK
Middle Name RYAN
Suffix
Gender M
Credential
Medical School Name MEDICAL COLLEGE OF WISCONSIN
Graduation Year 2010
Primary Specialty RADIATION ONCOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COLORADO WEST HEALTHCARE SYSTEM
Group Practice Pac Id 3971491887
Number Of Group Practice Members 32
Line 1 Street Address 2596 F RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GRAND JUNCTION
State CO
Zip Code 815051443
Phone Number 9702543180
Hospital Affiliation Ccn 1 060054
Hospital Affiliation Lbn 1 COMMUNITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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