Dr JOHN T BAGWELL is a male medical professional, specializing in Infectious Disease. He graduated in 1980 from University Of Texas Medical Branch At Galveston.
IDAHO PHYSICIAN SERVICES INC
3200 CHANNING WAY
SUITE A205
IDAHO FALLS
ID
834047586
Tel: 2085354580
| Npi | 1598783128 |
| Pac Id | 4385640176 |
| Professional Enrollment Id | I20171020001002 |
| Last Name | BAGWELL |
| First Name | JOHN |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1980 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | IDAHO PHYSICIAN SERVICES INC |
| Group Practice Pac Id | 2163430943 |
| Number Of Group Practice Members | 9 |
| Line 1 Street Address | 3200 CHANNING WAY |
| Line 2 Street Address | SUITE A205 |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834047586 |
| Phone Number | 2085354580 |
| Hospital Affiliation Ccn 1 | 130018 |
| Hospital Affiliation Lbn 1 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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