Individual
DR. GLADYS BAILON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 N BINKLEY ST, SUITE 101, SOLDOTNA, AK 99669-7521
(907) 260-7784
Mailing address
PO BOX 1249, SOLDOTNA, AK 99669-1249
(907) 260-7784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA4445
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD54821
—
AK
Enumeration date
12/06/2005
Last updated
10/12/2007
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