JESSICA BAILEY PA
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1588909261- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 333 N 18TH AVE SUITE #B, POCATELLO, ID, 832013358
- Phone
- (208) 232-2146
- Fax
- (208) 232-2770
Specialties & Taxonomies
Physician Assistant
License: ID #PA-1033
Physician Assistant, Surgical
Primary License: UT #11280373-1206