NPI 1205408754 · live from the CMS NPI Registry
Sean Bailey, DO
Family Medicine in Alpine, WY. National Provider Identifier 1205408754, active.
NPI record
| NPI | 1205408754 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 37 Wintergreen Drive, Alpine, WY 83128 |
| Practice phone | 307-654-5852 |
| Mailing address | 901 Adams St, Afton, WY 83110 |
| Enumerated | July 14, 2021 |
| Last updated | August 19, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | TL8364 (WY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.