Individual
CHAD MICHAEL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17930 TALBOT RD S, RENTON, WA 98055
(425) 228-3187
(425) 228-7972
Mailing address
17930 TALBOT RD S, RENTON, WA 98055-6230
(425) 228-3187
(425) 228-7972
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD60937352
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
R6336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136095
—
WA
05
—
387114701
—
TX
05
—
387114702
—
TX
01
—
8JM817
BCBS
TX
Enumeration date
06/21/2012
Last updated
04/28/2022
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