Louis D. Bailon
Specialist/Technologist, Athletic Trainer in Springfield, MO. Individual provider (NPI-1).
NPI number1902420748
StatusActive
Last updated in NPPESJun 6, 2020
Details
- NPI
- 1902420748
- Entity type
- Individual (NPI-1)
- Name
- Louis D. Bailon
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2020
- Certification date
- Jun 6, 2020
- Last updated
- Jun 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
901 S National Ave # Prof160Springfield, MO 65897-0001
Phone 908-499-2022
Mailing address
1028 E Saint Louis St # 1415dSpringfield, MO 65806-2590
Phone 908-499-2022
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