NPI | 1144917162 |
---|---|
Former Legal Business Name | JAMES BAILEY MD LLC |
Former Legal Business Name | MOONLIGHTING MANAGEMENT LLC |
Entity Type | Organization |
Authorized Contact | JAMES BAILEY President 703-795-7076 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2023-04-19 |
Last Update Date | 2023-07-19 |