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Individual

MEGAN A BAILEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
840 CALLAHAN DRIVE, SUITE A, BREMERTON, WA 98310
(360) 479-0349
(360) 479-0065
Mailing address
840 CALLAHAN DRIVE, SUITE A, BREMERTON, WA 98310

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004799
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7530BA
REGENCE BLUE SHIELD
05
8418477
WA
01
P00227848
RAILRAOD MEDICARE
WA
Enumeration date
05/20/2006
Last updated
07/08/2007
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