Individual
DR. STEPHEN WAYNE DAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-8690
(513) 475-7593
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-0001
(513) 585-5506
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
35-06-0704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004437
ANTHEM
OH
01
—
0900645
UNITED HEALTHCARE
OH
05
—
0936081
—
OH
01
—
1895362001
CIGNA
OH
01
—
200025841
MEDICARE RAILROAD
OH
Enumeration date
07/20/2005
Last updated
11/22/2017
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