Individual
BILLY DEAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E PRIMROSE ST STE 170, SPRINGFIELD, MO 65807-5192
(417) 269-9817
(417) 269-9853
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024006183
MO
Other
Enumeration date
02/26/2024
Last updated
04/30/2024
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