Healthcare Provider Details

I. General information

NPI: 1427247345
Provider Name (Legal Business Name): DAN S BAILEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 S STANFIELD RD
TROY OH
45373-2307
US

IV. Provider business mailing address

47 S STANFIELD RD
TROY OH
45373-2307
US

V. Phone/Fax

Practice location:
  • Phone: 937-339-4330
  • Fax: 937-335-5234
Mailing address:
  • Phone: 937-339-4330
  • Fax: 937-335-5234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAN S. BAILEY
Title or Position: DOCTOR
Credential: DPM
Phone: 937-339-4330