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Individual

STANTON A BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
970 MEDICAL DR STE 202, BRIGHAM CITY, UT 84302-3286
(435) 695-2273
(435) 695-2278
Mailing address
PO BOX 405473, ATLANTA, GA 30384-5473

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
274750-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
528080509002
UT
05
870419324004
UT
Enumeration date
07/17/2006
Last updated
02/09/2022
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