Individual
MARISSA K BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1715 N WEBER ST STE 220, COLORADO SPRINGS, CO 80907-7553
(719) 632-4455
(604) 625-1813
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
(360) 462-5181
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TL407
WY
Other
Enumeration date
01/17/2007
Last updated
03/08/2023
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