NPI 1871782649

Donald Shane Bailey, LPN

Practitioner Surgical Technologist Cape Girardeau, MO

Practice location

Address: 304 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920
Phone: (573) 334-9933
Fax: (573) 334-9958

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 048016 (MO)

Other Specialist/Technologist, Other providers in Missouri →

Registry record

NPI: 1871782649
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2007
Record last updated: 17 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.