Individual
BAILEY M BEVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HAWKINS DR, DEPT OF SURGERY, IOWA CITY, IA 52242-1009
(319) 356-1616
Mailing address
200 HAWKINS DR, DEPT OF SURGERY, IOWA CITY, IA 52242-1009
(319) 356-1616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002406
IA
363A00000X
Physician Assistant
10004090A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300085318
—
IN
Enumeration date
08/01/2013
Last updated
05/14/2025
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