MEDICARE: CHLOE MARIE BAILEY PA-C

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	1914	CO

General Provider Information

NPI Number	:	1366513681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE MARIE BAILEY PA-C

Provider Business Mailing Address
First Line	:	300 S JACKSON ST
Second Line	:	SUITE 100
City	:	DENVER
State	:	CO
Zip	:	80209-3176
Country	:	US
Telephone Number	:	303-321-0222
Fax Number	:	303-321-6683

Provider Business Practice Location Address
First Line	:	300 S JACKSON ST
Second Line	:	SUITE 100
City	:	DENVER
State	:	CO
Zip	:	80209-3176
Country	:	US
Telephone Number	:	303-321-0222
Fax Number	:	303-321-6683

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

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	04/04/2012

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Directions to “ CHLOE MARIE BAILEY PA-C” Practice Location

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