Individual
JACOB DONALD BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 WHITE SAGE AVE, DELTA, UT 84624-8928
(435) 864-2708
(435) 864-2855
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 864-2708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
127-T2
WY
207Q00000X
Family Medicine Physician
Primary
7351942-1205
UT
Other
Enumeration date
06/12/2017
Last updated
04/14/2026
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