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Individual

DR. JOHN ROBERT BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1303 PRINCETON AVE N, WENATCHEE, WA 98801-1438
(509) 662-0309
(509) 664-8962
Mailing address
1303 PRINCETON AVE N, WENATCHEE, WA 98801-1438
(509) 662-0309
(509) 664-8962

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001388
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16232
LABOR & INDUSTRIES
WA
05
2039600
WA
01
35006437
RAILROAD MEDICARE
01
BAIJ2814361348
PEMERA BLUE CROSS
WA
01
CH00001388
CHIROPRACTIC LICENSE
WA
Enumeration date
03/07/2006
Last updated
12/19/2007
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