JORDAN LYLE BAILEY

POCATELLO, ID
NPI1225124936
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M9245)
Enumeration Date2006-10-04
Last Update Date2021-08-10
Business Address
JORDAN LYLE BAILEY m.d.
151 N 4TH AVE SUITE B
POCATELLO, ID 83201-6300
Phone number: 208-269-7147
Mailing Address
JORDAN LYLE BAILEY m.d.
151 N 4TH AVE SUITE B
POCATELLO, ID 83201-6300
Phone number: 208-269-7147
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