Individual
DARYL BAILIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1810 N OLIVE AVE, SUITE 7, TURLOCK, CA 95382-2500
(209) 656-1577
(209) 656-9106
Mailing address
220 STANDIFORD AVE, STE F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A44981
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A449811
—
CA
Enumeration date
08/17/2006
Last updated
12/08/2015
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