Organization
MICHAEL B. BAYLESS & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BAYLESS (PRESIDENT/CEO)
(602) 230-7373
Entity
Organization
Contact information
Practice address
3033 N CENTRAL AVE, 700, PHOENIX, AZ 85012-2809
(602) 230-7373
(602) 257-8029
Mailing address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
OTC8131
AZ
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170664
—
AZ
Enumeration date
11/14/2017
Last updated
11/13/2020
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