NPI 1184486391

Bailey Hazen

Practitioner Prosthetist Raleigh, NC

Practice location

Address: 3320 Executive Dr STE 210, Raleigh, NC 27609-7445
Phone: (919) 803-5869
Fax: (888) 638-6138

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1184486391
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2024
Record last updated: 24 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.