Individual
BAILEY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA54548
—
363AM0700X
Medical Physician Assistant
Primary
PT800
WY
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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