Individual
BAYLEE BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E MAIN ST, MANNINGTON, WV 26582-1278
(681) 285-1232
Mailing address
338 RICHARD HARRISON WAY, MORGANTOWN, WV 26501-1119
(517) 489-9724
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2759
WV
Other
Enumeration date
10/18/2022
Last updated
12/17/2024
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