Most Relevant Information
Provider Data
| NPI Number: | 1003803149 |
| Provider Name: | RICHARD DAVID BAGNALL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 0101102591 |
Most Important Dates
| Enumeration Date: | 10/04/2005 |
| Last Updated: | 09/30/2013 |
Provider Practice Location
120 KINGS WAY
SUITE 1400
WILLIAMSBURG
VA
231852505
Practice Location Phone/Fax
| Phone: | 7573452555 |
| Fax: | 7573450366 |
Provider Mailing Location
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS
VA
236011318
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR