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Contact Information

PETER BAILEY MD PA
313 W COUNTRY CLUB ROAD
ROSWELL, NM88201
 Phone: 575-623-4111
 Fax: 575-623-2951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for PETER BAILEY MD PA

NPI # 1902908015
LBN Legal business name PETER BAILEY MD PA
Authorized official GENEVA BAILEY - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2006
Last updated 10/12/2007 - About 19 years ago
Identifiers
NM License # 92-5
NM Medicaid E2373
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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