Organization
LIBERTY FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JEAN BAILEY M.D. (PRESIDENT)
(330) 896-3033
Entity
Organization
Contact information
Practice address
571 E TURKEYFOOT LAKE RD, SUITE A, AKRON, OH 44319
(330) 896-3033
(330) 896-5692
Mailing address
571 E TURKEYFOOT LAKE ROAD, SUITE A, AKRON, OH 44319-4122
(330) 896-3033
(330) 896-5692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080156797
RR MEDICARE
OH
05
—
2148974
—
OH
Enumeration date
10/17/2006
Last updated
01/14/2010
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