Mark H Bayliss, PA-C
NPI #1194822122 in Raton, New Mexico
Provider Information
- NPI Number
- 1194822122
- Entity Type
- Individual
- Name
- Mark H Bayliss, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Mar 11, 2011
Practice Location
- Address
- 190 HOSPITAL DR
- City
- Raton
- State
- New Mexico
- ZIP Code
- 87740-2002
- Phone
- (575) 445-5563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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