Individual
BAILEY LE SHEA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5608 E INGLEWOOD ST, MESA, AZ 85205-4399
(480) 298-6342
Mailing address
5608 E INGLEWOOD ST, MESA, AZ 85205-4399
(480) 298-6342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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