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NPI Verification

National Provider Identifier: 1225124936

Jordan Lyle Bailey, M.d.

Individual Provider

Credentials

m.d.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

151 N 4TH AVE

SUITE B

POCATELLO, ID 832016300

Phone: 208-269-7147

NPI Enumeration Date

October 4, 2006

NPI Number

1225124936

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry