DUSTIN KADE BAGLEY

UNIVERSITY HEALTH SHREVEPORT, LLC

Dr DUSTIN KADE BAGLEY is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2018.

Contact

UNIVERSITY HEALTH SHREVEPORT, LLC

1541 KINGS HWY
SHREVEPORT
LA
711034228

Tel: 3186260000

DUSTIN KADE BAGLEY Information

Npi 1831662162
Pac Id 7618215039
Professional Enrollment Id I20190211001509
Last Name BAGLEY
First Name DUSTIN
Middle Name KADE
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UNIVERSITY HEALTH SHREVEPORT, LLC
Group Practice Pac Id 7416207196
Number Of Group Practice Members 74
Line 1 Street Address 1541 KINGS HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SHREVEPORT
State LA
Zip Code 711034228
Phone Number 3186260000
Hospital Affiliation Ccn 1 190098
Hospital Affiliation Lbn 1 UNIVERSITY HEALTH SHREVEPORT
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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