Individual
DR. RONALD CLYDE BAILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-1000
Mailing address
PO BOX 740209, DEPT 1041, ATLANTA, GA 30374-0209
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101238433
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010174473
—
VA
Enumeration date
03/30/2006
Last updated
05/05/2009
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