Dr. Ronald Wesley Bailey, M.D.
Radiology, Diagnostic Radiology in Mountain Home Afb, ID. Individual provider (NPI-1).
NPI number1316005143
StatusActive
Last updated in NPPESMay 25, 2018
Details
- NPI
- 1316005143
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronald Wesley Bailey
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- May 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 66563 | GA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 2000-00713 | NC | |
| 208D00000X | General Practice | 66563 | GA |
Practice location
Mountain Home Afb Medical Group90 Hope Drive, Building 6000
Mountain Home Afb, ID 83648
Phone 208-828-7815
Mailing address
708 Michaels CrkEvans, GA 30809-4042
Phone 706-868-0972
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