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Individual

LEAH A BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
(918) 696-3879
Mailing address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
(918) 696-3879

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3742
OK
207Q00000X
Family Medicine Physician
E 3442
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1203742
OK
Enumeration date
12/08/2005
Last updated
05/20/2008
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