Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 30462 | OK |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 30462 | OK |
NPI | 1033174859 |
---|---|
Provider Name | Ms. Vickie Marie Bailey |
First Address | Oklahoma City, OK 73104-5047 |
Second Address | Oklahoma City, OK 73104-5047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 12/06/2014 |