Individual provider · Type 1 NPI

Michaela Charlotte Bailly, PA-C

Medical Physician Assistant · Los Alamos, NM

NPI number 1205565504 Active

Practice location

3917 West Rd Ste A
Los Alamos, NM 87544-2292

Fax (505) 661-8916

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2022-0098 (NM)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1205565504

Michaela Charlotte Bailly, PA-C's National Provider Identifier is 1205565504, issued on Jun 10, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Alamos, NM. The record was last updated on Feb 19, 2024.