MEDICARE: BAILEY M HUEBNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1972263200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY M HUEBNER

Provider Business Mailing Address
First Line	:	350 INDIANA ST STE 500
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-5097
Country	:	US
Telephone Number	:	303-463-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 INDIANA ST STE 500
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-5097
Country	:	US
Telephone Number	:	303-463-9600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2021
Last Update Date	:	06/05/2026

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Directions to “ BAILEY M HUEBNER ” Practice Location

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