Individual
DR. ROBERT LATHAM BAILLIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1400 I (EYE) STREET NW, SUITE 825, WASHINGTON, DC 20005
(202) 617-2160
(410) 367-2248
Mailing address
1400 I (EYE) STREET NW, SUITE 825, WASHINGTON, DC 20005
(202) 617-2160
(410) 367-2248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D82747
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2014
Last updated
04/07/2020
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