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NPI Profile for BAILEY MONTGOMERY in CHEYENNE, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1649793852 |
|
| Status | Active | |
| Credentials | PHYSICIAN ASSISTANT | |
| Entity | Individual | |
| Enumeration date | 07/19/2017 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BAILEY MONTGOMERY
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BAILEY MONTGOMERY, PHYSICIAN ASSISTANT