Individual
BAILEY ROBERT BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9398 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2802
(410) 480-9110
Mailing address
9398 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2802
(410) 480-9110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008647
MD
Other
Enumeration date
09/29/2022
Last updated
08/09/2024
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