Individual
WENDY BAILEY
Active
Individual
WENDY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
19012
MT
2080P0205X
Pediatric Endocrinology Physician
Primary
5812
AK
2080P0205X
Pediatric Endocrinology Physician
G56672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6946
—
AK
Enumeration date
09/22/2006
Last updated
07/24/2012
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