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Individual

DR. DAVID G BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
990 S PROSPECT ST, SUITE 1, MARION, OH 43302-6283
(740) 383-5252
(740) 383-6653
Mailing address
990 S PROSPECT ST, SUITE 1, MARION, OH 43302-6283
(740) 383-5252
(740) 383-6653

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
350-48955
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000119229
ANTHEM
OH
05
0514634
OH
01
411013043
MEDICARE RAILROAD
OH
Enumeration date
09/22/2006
Last updated
10/21/2014
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