ETHAN BAILEY PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1679023345- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 4665 N US HIGHWAY 31, COLUMBUS, IN, 472018558
- Phone
- (812) 376-9353
- Fax
- (812) 376-3757
Specialties & Taxonomies
Physician Assistant
Primary License: IN #10003274A
Physician Assistant, Surgical
License: IN #10003274A
All Addresses
MAILING
703 TRENT DR
GREENWOOD, IN, 461437424