Individual
DR. COLIN ERNEST BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5780 OSAGE BEACH PKWY, SUITE 200, OSAGE BEACH, MO 65065-3188
(573) 302-0032
(573) 302-0378
Mailing address
5780 OSAGE BEACH PKWY, SUITE 200, OSAGE BEACH, MO 65065-3188
(573) 302-0032
(573) 302-0378
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
105982
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207677733
—
MO
Enumeration date
07/21/2006
Last updated
09/26/2012
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