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Individual

DR. JASON M BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1165 N BUTTERFIELD RD, BOLIVAR, MO 65613-1056
(417) 328-6055
(417) 328-6632
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(620) 704-4745
(417) 328-6632

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
05-36693
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2025006913
MO
207RP1001X
Pulmonary Disease Physician
Primary
05-36693
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200508990A
OK
05
201086210A
KS
Enumeration date
06/18/2007
Last updated
05/21/2025
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