Bailey, Edith Proctor

Bailey, Edith Proctor is an individual health care provider with primary practice located at 2600 N Wyatt Dr Children'S Clinics, Tucson AZ 85712-6106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bailey, Edith Proctor can be contacted via phone (520) 324-5437.

Contact Information

Primary practice address
2600 N Wyatt Dr Children'S Clinics Tucson AZ 85712-6106
Fax: (520) 324-3129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19745 Arizona

Profile Details

NPI number 1962401513
LBN Legal business name Bailey, Edith Proctor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2005
Last updated Jan 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962401513 NPPES
Arizona MEDICAID 125246
Arizona Other AZ0881600

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