Individual
BAILEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3116 WILLETT DR, LARAMIE, WY 82072-5048
(307) 755-4540
(307) 755-4539
Mailing address
3116 WILLETT DR, LARAMIE, WY 82072-5048
(307) 755-4540
(307) 755-4539
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125071064
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
16372A
WY
Other
Enumeration date
03/28/2017
Last updated
10/30/2023
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