Individual
BRENDAN P. BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4311 W 26TH PL, JOPLIN, MO 64804-7018
(417) 499-5218
Mailing address
4311 W 26TH PL, JOPLIN, MO 64804-7018
(417) 499-5218
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
ORGANIZED HEALTH EDUCATION/TRAINING PROGRAM
OK
Enumeration date
06/28/2021
Last updated
06/28/2021
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