Individual
DR. ROGER B BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1206 E NATIONAL AVE, BRAZIL, IN 47834-2718
(812) 442-2480
Mailing address
1206 E NATIONAL AVE, BRAZIL, IN 47834-2718
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01039162A
IN
208VP0014X
Interventional Pain Medicine Physician
01039162
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252650A
—
IN
Enumeration date
06/03/2006
Last updated
12/19/2022
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