Individual
COURTNEY MITCHELL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 ROUND VALLEY, PARK CITY MEDICAL CENTER, PARK CITY, UT 84060
(435) 658-7000
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1910
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
92-142320-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002083089
—
NV
01
—
107006128101
IHC
UT
05
—
117040600
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
261705
DESERET MUTUAL
UT
01
—
38386
PEHP
UT
05
—
774803
—
AZ
05
—
806156700
—
ID
01
—
8597445
WORKERS COMP
UT
01
—
870545614BA1
EDUCATORS MUTUAL
UT
01
—
995
HEALTHY U
UT
01
—
PRA02122
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
08/31/2006
Last updated
10/15/2012
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