Individual
MR. ERIC TAD BAYLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5914 SW 69TH ST, AUBURN, KS 66402-9688
(785) 640-6844
Mailing address
5914 SW 69TH ST, AUBURN, KS 66402-9688
(785) 640-6844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-82155-101
KS
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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