Individual
JOSEPH M BAILON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5039
(602) 344-0779
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0297
AZ
367500000X
Certified Registered Nurse Anesthetist
RN088563
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
855314
—
AZ
Enumeration date
12/05/2005
Last updated
02/23/2015
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