Individual provider · Type 1 NPI
Bailey Wilson, PA-C
Medical Physician Assistant · Vineyard, UT
NPI number
1558098558
Active · reactivated Sep 16, 2022
Practice location
534 E 300 N Unit 311
Vineyard, UT 84059-3510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1558098558
Bailey Wilson, PA-C's National Provider Identifier is 1558098558, issued on Aug 1, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vineyard, UT. The record was last updated on Jun 25, 2026.