Provider Demographics
NPI:1154439768
Name:BAILEY, ARLOW EUGENE (OA)
Entity Type:Individual
Prefix:MR
First Name:ARLOW
Middle Name:EUGENE
Last Name:BAILEY
Suffix:
Gender:M
Credentials:OA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 CYPRESS ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:FL
Mailing Address - Zip Code:32033-4041
Mailing Address - Country:US
Mailing Address - Phone:904-540-2317
Mailing Address - Fax:
Practice Address - Street 1:5820 CYPRESS ESTATES DR
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:FL
Practice Address - Zip Code:32033-4041
Practice Address - Country:US
Practice Address - Phone:904-540-2317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist