Provider Demographics
NPI:1396898755
Name:BAILEY, BARB H (PA-C)
Entity type:Individual
Prefix:MS
First Name:BARB
Middle Name:H
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:DEER LODGE
Mailing Address - State:MT
Mailing Address - Zip Code:59722-1828
Mailing Address - Country:US
Mailing Address - Phone:406-846-1722
Mailing Address - Fax:406-846-3074
Practice Address - Street 1:1101 TEXAS AVE
Practice Address - Street 2:
Practice Address - City:DEER LODGE
Practice Address - State:MT
Practice Address - Zip Code:59722-1828
Practice Address - Country:US
Practice Address - Phone:406-846-1722
Practice Address - Fax:406-846-3074
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT415363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant