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NPI Code Detail

MEDICARE: DR. COLIN ERNEST BAILEY M.D.

MEDICARE:  DR. COLIN ERNEST BAILEY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician105982MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457372997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COLIN ERNEST BAILEY M.D.
Provider Business Mailing Address
First Line : 5780 OSAGE BEACH PKWY
Second Line : SUITE 200
City : OSAGE BEACH
State : MO
Zip : 65065-3188
Country : US
Telephone Number : 573-302-0032
Fax Number : 573-302-0378
Provider Business Practice Location Address
First Line : 5780 OSAGE BEACH PKWY
Second Line : SUITE 200
City : OSAGE BEACH
State : MO
Zip : 65065-3188
Country : US
Telephone Number : 573-302-0032
Fax Number : 573-302-0378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 09/26/2012

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Directions to “ DR. COLIN ERNEST BAILEY M.D.” Practice Location

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