Individual
BRADLEY C. BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
122 12TH ST, PRINCETON, WV 24740-2312
(304) 487-7726
(304) 431-5263
Mailing address
122 12TH ST, PRINCETON, WV 24740-2312
(304) 487-7726
(304) 431-5263
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
01160
WV
363AM0700X
Medical Physician Assistant
Primary
483
WV
Other
Enumeration date
08/20/2006
Last updated
08/28/2015
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