ETHAN BAILEY

COLUMBUS, IN
NPI1679023345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10003274A)
Enumeration Date2016-10-06
Last Update Date2024-05-08
Business Address
ETHAN BAILEY PA
2106 25TH ST STE F
COLUMBUS, IN 47201-3238
Phone number: 812-376-5070
Mailing Address
ETHAN BAILEY PA
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-376-5315
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