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Individual

ROBERT D BAILIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
(304) 422-3904
(304) 422-3924
Mailing address
3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
(304) 422-3904
(304) 422-3924

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24630
WV
207L00000X
Anesthesiology Physician
K2406
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104027103
TX
Enumeration date
02/07/2007
Last updated
09/26/2011
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