Individual
DR. JERRY LEE BAILEY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
520 E COEUR DALENE AVE, COEUR D ALENE, ID 83814-2873
(208) 664-1644
(208) 667-5568
Mailing address
520 E COEUR DALENE AVE, COEUR D ALENE, ID 83814-2873
(208) 664-1644
(208) 667-5568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-932
ID
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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