Individual
MARK H BAYLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
(575) 445-5566
Mailing address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
(575) 445-5566
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-3536
NM
Other
Enumeration date
09/20/2006
Last updated
03/11/2011
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