Provider Demographics
NPI:1184984825
Name:BAILEY, BARBARA LEE (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LEE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2103 HARRISON AVE NW
Mailing Address - Street 2:#2-876
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-2636
Mailing Address - Country:US
Mailing Address - Phone:805-801-8830
Mailing Address - Fax:
Practice Address - Street 1:129 BROAD ST
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-1707
Practice Address - Country:US
Practice Address - Phone:805-801-8830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-28
Last Update Date:2012-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG61082207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine