Individual
DR. JUSTIN BAILEY
Active
Individual
DR. JUSTIN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20410
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706175
BLUE CROSS FOR GROUP
WV
01
—
1447349238
NPI NUMBER FOR GROUP
WV
05
—
3810001081
—
WV
01
—
DC7713
UMWA NUMBER FOR GROUP
WV
01
—
P00189318
UMWA PIN NUMBER FOR GROUP
WV
01
—
P00215125
RAILROAD MEDICARE NUMBER FOR GROUP
WV
Enumeration date
01/14/2006
Last updated
08/07/2013
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