Organization
MIDAMERICA ORTHOPAEDIC AND SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D BAILEY DO (OWNER)
(660) 665-0950
Entity
Organization
Contact information
Practice address
1701 N ELSON ST, KIRKSVILLE, MO 63501-1129
(660) 665-0950
(660) 665-0699
Mailing address
1701 N ELSON ST, KIRKSVILLE, MO 63501-1129
(660) 665-0950
(660) 665-0699
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
110360
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244728507
—
MO
Enumeration date
03/03/2008
Last updated
09/29/2014
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