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General NPI Number Information
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NPI Number | 1821354689
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Entity Type | Individual
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Provider Name | ZACHARY DANIEL BAILEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 1024 S LEMAY AVE
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City | FORT COLLINS
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State | CO
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Zip | 80524-3929
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Country | US
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Telephone | 970-495-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2008 CARIBOU DR
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City | FORT COLLINS
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State | CO
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Zip | 80525-4325
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Country | US
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Telephone | 970-484-4757
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Fax | 970-484-4759
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2491
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 14209A
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | R0535
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DR.0067347
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License Number State | CO
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