NPI 1891929519 · live from the CMS NPI Registry
Jared Bailey, M.D.
Radiology, Vascular & Interventional Radiology in Pocatello, ID. National Provider Identifier 1891929519, active.
NPI record
| NPI | 1891929519 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 777 Hospital Way, Pocatello, ID 83201 |
| Practice phone | 208-239-1000 |
| Mailing address | 2265 East Sunnyside Road, Idaho Falls, ID 83404 |
| Enumerated | May 9, 2009 |
| Last updated | June 9, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | M12844 (ID) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | M12844 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.