Organization
PETER BAILEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVA BAILEY (OFFICE MANAGER)
(575) 623-4111
Entity
Organization
Contact information
Practice address
313 W COUNTRY CLUB ROAD, ROSWELL, NM 88201
(575) 623-4111
(575) 623-2951
Mailing address
313 W COUNTRY CLUB ROAD, ROSWELL, NM 88201
(575) 623-4111
(575) 623-2951
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
92-5
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E2373
—
NM
Enumeration date
09/01/2006
Last updated
10/12/2007
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