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Organization

BAILEY VEIN INSTITUTE, LLC

Active
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Organization

BAILEY VEIN INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COLIN E BAILEY M.D. (OWNER)
(573) 302-0032
Entity
Organization

Contact information

Practice address
64-1035 MAMALAHOA HWY, SUITE K, KAMUELA, HI 96743-8440
(808) 885-4401
(808) 885-4412
Mailing address
1075 NICHOLS RD, SUITE 5, OSAGE BEACH, MO 65065-3093
(573) 302-0032
(573) 302-0378

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
15676
HI
2086S0129X
Vascular Surgery Physician
15676
HI

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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