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Andrew T Bagby, MD
General Practice Physician in San Diego, California
NPI 1144723289

Andrew T Bagby is a General Practice Physician based in San Diego, CA. Andrew T Bagby practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Andrew T Bagby is 1144723289 and holds a License No. (California).

The current practice location address for Andrew T Bagby is 601 Mc Cain Blvd, San Diego, CA and can be reached out via phone at 619-545-4359.

Location: 601 Mc Cain Blvd, San Diego, CA, 92135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144723289
Provider Name
Andrew T Bagby
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 Mc Cain Blvd, San Diego, CA, 92135
Phone Number
619-545-4359
Fax Number
Provider Enumeration Date
03/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 Mc Cain Blvd
City
San Diego
State
California
Zip
92135
Phone Number
619-545-4359
Fax Number
person
Provider Business Mailing Address Details
Address
601 Mc Cain Blvd
City
San Diego
State
California
Zip
92135
Phone Number
619-545-4359
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101267432 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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