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Stephen Bailey
NPI 1063020022 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2100 Goshen Rd Ste 111
Fort Wayne, IN 46808 - Phone
- (260) 203-0998
- Fax
- (260) 267-6900
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 102
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana