Individual
BAILEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
534 E 300 N UNIT 311, VINEYARD, UT 84059-3510
(206) 819-0538
Mailing address
534 E 300 N UNIT 311, VINEYARD, UT 84059-3510
(206) 819-0538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
09/16/2022
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