Individual
BAILEY THOMAS IMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N LEE AVE RM 1980, OKLAHOMA CITY, OK 73102-1036
(405) 272-8437
Mailing address
1110 N LEE AVE STE 300, OKLAHOMA CITY, OK 73103-2612
(405) 231-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41565
OK
Other
Enumeration date
04/19/2023
Last updated
07/11/2023
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