Individual
BEAU BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-3364
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-3364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9247403-1205
UT
208000000X
Pediatrics Physician
9247403-1205
UT
Other
Enumeration date
04/08/2011
Last updated
04/13/2026
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