Individual
DR. BRUCE O BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 FORGE RD, SUITE 300, CARLISLE, PA 17013-3183
(717) 218-3920
(717) 218-3921
Mailing address
205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD050168L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014635900001
—
PA
01
—
50000733
CAP BLUE CROSS
—
01
—
769933
HIGHMARK BLUE SHIELD
—
Enumeration date
12/13/2005
Last updated
02/26/2015
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