Individual
COLIN G BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
735 W 5TH ST, LA PLACE, LA 70068-5505
(985) 652-9504
(985) 652-8837
Mailing address
735 W 5TH ST, LA PLACE, LA 70068-5505
(985) 652-9504
(985) 652-8837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015626
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07650259
—
MS
05
—
1331155
—
LA
Enumeration date
05/05/2006
Last updated
12/31/2014
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