Individual
DR. DAN STEVEN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
47 S STANFIELD RD, TROY, OH 45373-2307
(937) 339-4330
(937) 335-5234
Mailing address
47 S STANFIELD RD, TROY, OH 45373-2307
(937) 339-4330
(937) 335-5234
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36 002126
OH
213ES0000X
Sports Medicine Podiatrist
36 002126
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
36 002126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011257
ANTHEM ID
OH
05
—
0514152
—
OH
01
—
311071464-00
WORKERS COMP ID
OH
Enumeration date
06/08/2005
Last updated
10/30/2007
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