JORDAN LYLE BAILEY m.d.
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1225124936- Provider Type
- Individual Provider (NPI-1)
- Credentials
- m.d.
- Status
- Active
Contact & Location
- Address
- 151 N 4TH AVE SUITE B, POCATELLO, ID, 832016300
- Phone
- (208) 269-7147
- Fax
- (208) 416-6522
Specialties & Taxonomies
Family Medicine
Primary License: ID #M9245