Healthcare Provider Details

I. General information

NPI: 1184615023
Provider Name (Legal Business Name): JOAN FRANCES BAILEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 02/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 N 3RD ST
PHOENIX AZ
85004-1401
US

IV. Provider business mailing address

2200 N 3RD ST
PHOENIX AZ
85004-1401
US

V. Phone/Fax

Practice location:
  • Phone: 602-258-9955
  • Fax: 602-258-9933
Mailing address:
  • Phone: 602-258-9955
  • Fax: 602-258-9933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA221768
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: