William Richard Bailey D.O.

NPI 1063623486 - Specialist - 174400000X

NPI Details
NPI 1063623486
Gender Male
Enumeration Date 05/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4510 EXECUTIVE DR. SUITE. 170
SAN DIEGO CA, 92121, US
Phone (858) 457-4717
Fax (858) 457-0470
Business Location
4510 EXECUTIVE DR. SUITE. 170
SAN DIEGO CA, 92121, US
Phone (858) 457-4717
Fax (858) 457-0470
Toxanomy
Taxonomy Code 174400000X
License State California
License Number 20A5811
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According to our database, William Richard Bailey D.O. NPI is 1063623486, taxonomy code is 174400000X and license number is 20A5811, license state is located at California. William Richard Bailey D.O. physically located at 4510 Executive Dr. Suite. 170, San Diego CA, 92121. NPI Number William Richard Bailey D.O. has the Individual type.

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1063623486 NPI number is provided on an as is basis without warranty of any kind. 1063623486 is maintained by the National Plan & Provider Enumeration System. The contents of William Richard Bailey D.O. are for informational purposes only.