Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 32889 | CA |
NPI | 1003233842 |
---|---|
Provider Name | Dr. Bradley James Bailey |
First Address | San Francisco, CA 94105-3220 |
Second Address | San Francisco, CA 94105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2014 |
Last Update Date | 14/06/2018 |