Organization
BAILEY VEIN INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN E BAILEY M.D. (OWNER)
(573) 302-0032
Entity
Organization
Contact information
Practice address
64-1035 MAMALAHOA HWY, SUITE K, KAMUELA, HI 96743-8440
(808) 885-4401
(808) 885-4412
Mailing address
1075 NICHOLS RD, SUITE 5, OSAGE BEACH, MO 65065-3093
(573) 302-0032
(573) 302-0378
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
15676
HI
2086S0129X
Vascular Surgery Physician
15676
HI
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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