NPI 1043672884 · live from the CMS NPI Registry
Aaron Bailey
Physician Assistant in Montgomery, WV. National Provider Identifier 1043672884, active.
NPI record
| NPI | 1043672884 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 401 6th Ave, Montgomery, WV 25136 |
| Practice phone | 304-442-7477 |
| Mailing address | 125 Fairland Dr, Nitro, WV 25143 |
| Enumerated | March 22, 2016 |
| Last updated | May 8, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 716 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.