Individual
STEPHEN BRYAN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 GOSHEN RD STE 111, FORT WAYNE, IN 46808-1493
(260) 203-0998
(260) 267-6900
Mailing address
2825 WINDRUSH DR, FORT WAYNE, IN 46808-3820
(260) 433-6726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017207A
IN
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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