Individual
DR. BONNIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19730
WV
208000000X
Pediatrics Physician
Primary
19730
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009273000
—
WV
01
—
001718041
BLUE CROSS BLUE SHIELD
WV
01
—
1053513
WORKERS COMPENSATION
WV
Enumeration date
01/04/2006
Last updated
05/07/2018
Update your record
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