Individual
MICHAEL BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 W INTL AIRPORT RD, ANCHORAGE, AK 99518-1105
(907) 561-5335
Mailing address
540 W INTL AIRPORT RD, ANCHORAGE, AK 99518-1105
(907) 561-5335
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM6393
—
AK
Enumeration date
05/14/2007
Last updated
07/09/2007
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