Individual
TRAVIS BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3340 N CENTER ST STE 800, LEHI, UT 84043-7406
(801) 990-1911
Mailing address
1471 E MADRID WAY, SANDY, UT 84093-1234
(801) 520-8450
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
—
—
Other
Enumeration date
03/22/2020
Last updated
04/17/2024
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