Individual
MR. DAVID BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
2010 PECAN DR, ALAMOGORDO, NM 88310-4746
(575) 921-6549
Mailing address
611 MADISON AVE, ALAMOGORDO, NM 88310-5266
(575) 921-9632
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
758
NM
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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