Jordan Bailey, M.D

NPI 1225124936 · on the registry since 2006

Practice

Address: 151 N 4th Ave
Suite B
Pocatello, ID 83201
Phone: (208) 269-7147
Fax: (208) 416-6522
Organisation at this address: J Gorriceta Pllc
Beacon Therapy Llc
Specialized Family Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-08-10

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 Idaho