SearchArizona156FX1800X

Wesley Bailes, LDO

NPI 1649064338 · on the registry since 2025

Practice

Address
5695 Highway 95 N
Lake Havasu City, AZ 86404
Phone
(928) 764-3755
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona