Provider Demographics
NPI:1497117428
Name:OLLIFF, BAILEE WILLIAMS (MD)
Entity Type:Individual
Prefix:
First Name:BAILEE
Middle Name:WILLIAMS
Last Name:OLLIFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BAILEE
Other - Middle Name:DANYEL
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9141 GRANT ST STE 125
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4367
Mailing Address - Country:US
Mailing Address - Phone:303-453-2460
Mailing Address - Fax:
Practice Address - Street 1:9141 GRANT ST STE 125
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4367
Practice Address - Country:US
Practice Address - Phone:303-453-2460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.00658432086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program