Virginia E. Bailey IDMT

NPI 1063647196 - Military Health Care Provider - 1710I1003X

NPI Details
NPI 1063647196
Gender Female
Enumeration Date 05/19/2009
Last Updated 05/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4837 S PHOENIX ST.
RM 119 DAVIS-MONTHAN AIR FORCE BASE
TUCSON AZ, 85707, US
Phone (520) 228-1860
Fax
Business Location
4575 S. PHOENIX ST.
563RD OSS/OSM DAVIS-MONTHAN AIR FORCE BASE
TUCSON AZ, 85707, US
Phone (520) 228-1860
Fax
Toxanomy
Taxonomy Code 1710I1003X
License State
License Number
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According to our database, Virginia E. Bailey IDMT NPI is 1063647196, taxonomy code is 1710I1003X Virginia E. Bailey IDMT physically located at 4837 S Phoenix St., Tucson AZ, 85707. NPI Number Virginia E. Bailey IDMT has the Individual type.

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1063647196 NPI number is provided on an as is basis without warranty of any kind. 1063647196 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia E. Bailey IDMT are for informational purposes only.