Individual
DEBRA GREGORY BAYHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
333 E VIRGINIA AVE, 220, PHOENIX, AZ 85004-1206
(602) 258-9955
(602) 258-9933
Mailing address
333 E VIRGINIA AVE, 220, PHOENIX, AZ 85004-1206
(602) 258-9955
(602) 258-9933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2270
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596554
—
AZ
Enumeration date
05/01/2007
Last updated
11/05/2010
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