Individual
BAILEY WILLIAM CORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6905 HARRIS AVE, KAILUA, HI 96734
(303) 775-4098
Mailing address
6905 HARRIS AVE, FPO, AP 96734
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
DR.0069170
CO
Other
Enumeration date
03/18/2021
Last updated
09/21/2023
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