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Individual

WILLIAM BAILER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
92 N 4TH ST, SUITE 14, MARTINS FERRY, OH 43935-1691
(740) 633-6504
(740) 635-6514
Mailing address
PO BOX 2812, WEIRTON, WV 26062-6812
(740) 633-6504
(740) 633-6514

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18596
WV
208600000X
Surgery Physician
Primary
35070121B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0126514000
WV
05
0274644
OH
Enumeration date
10/05/2005
Last updated
07/30/2019
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