Individual
DR. JOHN DEE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1701 N ELSON ST, KIRKSVILLE, MO 63501-1141
(660) 665-0950
(660) 665-0699
Mailing address
21469 LAKE WOOD TRL, KIRKSVILLE, MO 63501-7675
(660) 627-0989
(660) 627-0990
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MO110360
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831369107
GROUP NPI
MO
05
—
244728507
—
MO
Enumeration date
05/31/2005
Last updated
06/16/2008
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