JACOB WALTER BAILEY
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1659012508- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2808 N 75TH ST STE H, OMAHA, NE, 681346861
- Phone
- (402) 932-2248
Specialties & Taxonomies
Otolaryngology
License: AL #NA
Physician Assistant
Primary License: NE #2827
Physician Assistant
Physician Assistant, Medical
License: NE #2827