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NPI Code Detail

MEDICARE: BAILEY FAMILY MEDICAL CARE PC

MEDICARE: BAILEY FAMILY MEDICAL CARE PC
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
1207Q00000XFamily Medicine Physician27721AZ

General Provider Information

NPI Number : 1093930927
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAILEY FAMILY MEDICAL CARE PC
Provider Business Mailing Address
First Line : 11390 E VIA LINDA STE 102
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-4075
Country : US
Telephone Number : 480-860-5533
Fax Number : 480-860-5005
Provider Business Practice Location Address
First Line : 11390 E VIA LINDA STE 102
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-4075
Country : US
Telephone Number : 480-860-5533
Fax Number : 480-860-5005
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT T BAILEY JR.
Credential : MD
Telephone Number : 480-860-5533
Provider Enumeration Date : 04/16/2007
Last Update Date : 06/27/2008

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Directions to “BAILEY FAMILY MEDICAL CARE PC ” Practice Location

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