Individual
MR. BAILEY MICHAEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 440-3321
Mailing address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 440-3321
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
F24-115531
UT
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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