Healthcare Provider Details

I. General information

NPI: 1376002238
Provider Name (Legal Business Name): ALISON MARIE BAILEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 FALL RIVER DR STE 210
LOVELAND CO
80538-7158
US

IV. Provider business mailing address

1880 FALL RIVER DR STE 210
LOVELAND CO
80538-7158
US

V. Phone/Fax

Practice location:
  • Phone: 970-744-4712
  • Fax:
Mailing address:
  • Phone: 847-220-2662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberDR.0072368
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberDR.0072368
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: