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Individual

DR. AMY ELIZABETH BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-5364
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07110012800
QUAL CHOICE
AR
05
165456001
AR
01
5H019
BLUE CROSS
AR
Enumeration date
04/25/2007
Last updated
08/15/2012
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