Individual
DR. JOHN CHARLES BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MSPH
Contact information
Practice address
1330 E 2100 N, NORTH LOGAN, UT 84341-2038
(435) 752-3097
Mailing address
1330 E 2100 N, NORTH LOGAN, UT 84341-2038
(435) 752-3097
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
155578-1205
UT
2083P0901X
Public Health & General Preventive Medicine Physician
1555781205
UT
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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