Lea A Bailey is a Physician Assistant in Bolivar, Missouri. Lea A Bailey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lea A Bailey is 1437149903. The last update date is 2022-12-21.
Lea A Bailey's current location address is 2230 S Springfield Ave Ste H-j, Bolivar, Missouri. You can contact this provider via phone number 4177774800 and fax number 4173267300. The mailing address for Lea A Bailey is 2230 S Springfield Ave Ste H-j, Bolivar, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lea A Bailey |
|---|---|
| Address | 2230 S Springfield Ave Ste H-j, Bolivar, Missouri |
| Phone Number | 4177774800 |
| Fax Number | 4173267300 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1437149903 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2022-12-21 |
Provider Mailing Address Detail
| Address | 2230 S Springfield Ave Ste H-j |
|---|---|
| City | Bolivar |
| State | Missouri (MO) |
| Post Code | 656139133 |
| Phone Number | 4177774800 |
| Fax Number | 4173267300 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2004006987 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Lea A Bailey by the Centers for Medicare & Medicaid Services?
The Lea A Bailey has been issued the NPI (National Provider Identifier) 1437149903 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lea A Bailey?
The Lea A Bailey is situated at 2230 S Springfield Ave Ste H-J, in the city of Bolivar, state of MO, with the zip code 656139133.
What is the Lea A Bailey's area of specialization and corresponding taxonomy classification?
The Lea A Bailey's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Lea A Bailey receive the assignment of its 1437149903 from the Centers for Medicare & Medicaid Services?
The Lea A Bailey was issued its 1437149903 by the Centers for Medicare & Medicaid Services on 2005-10-26.
As of what date were the details pertaining to Lea A Bailey last refreshed?
The information related to the Lea A Bailey, including its address, specialty, and other relevant details, was last updated on 2022-12-21.
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