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Individual
TRAVIS BAILEY
Active
Individual
TRAVIS BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13861668-1205
UT
207R00000X
Internal Medicine Physician
MED-RES-LIC-88117
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/22/2020
Last updated
04/17/2024
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