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Individual

DR. JOHN IRA BAILEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
829 UNIVERSITY BLVD S, MOBILE, AL 36609-7873
(251) 342-6443
(251) 342-6566
Mailing address
829 UNIVERSITY BLVD S, MOBILE, AL 36609-7873
(251) 342-6443
(251) 342-6566

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7962
AL
2084P0800X
Psychiatry Physician
Primary
7962
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00102751361
AMA MEDICAL EDUCATION NO.
01
051076187
BLUE CROSS BLUE SHIELD
AL
01
51076187
BLUE CROSS BLUE SHIELD
AL
01
76187
BLUE CROSS BLUE SHIELD
AL
01
7962
MEDICAL LICENSE NUMBER
AL
Enumeration date
10/02/2005
Last updated
02/01/2010
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