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Jordan Lyle Bailey, MD
Family Medicine Physician in Pocatello, Idaho
NPI 1225124936

Jordan Lyle Bailey is a Family Medicine Physician based in Pocatello, ID. Jordan Lyle Bailey practices in Pocatello, ID and has the professional credentials of MD. The NPI Number for Jordan Lyle Bailey is 1225124936 and holds a License No. M9245 (Idaho).

The current practice location address for Jordan Lyle Bailey is 151 N 4Th Ave, Pocatello, ID and can be reached out via phone at 208-269-7147 and via fax at 208-416-6522.

Location: 151 N 4Th Ave, Pocatello, ID, 83201-6300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225124936
Provider Name
Jordan Lyle Bailey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
151 N 4Th Ave, Pocatello, ID, 83201-6300
Phone Number
208-269-7147
Fax Number
208-416-6522
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76704 01 ID BLUE CROSS
807222600 05 ID
institution
Provider Business Practice Location Address Details
Address
151 N 4Th Ave
City
Pocatello
State
Idaho
Zip
83201-6300
Phone Number
208-269-7147
Fax Number
208-416-6522
person
Provider Business Mailing Address Details
Address
151 N 4Th Ave
City
Pocatello
State
Idaho
Zip
83201-6300
Phone Number
208-269-7147
Fax Number
208-416-6522
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M9245 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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