Individual provider · Type 1 NPI

Logan Robert Jefferson Bailey, MD, PhD

Student in an Organized Health Care Education/Training Program · Stanford, CA

NPI number 1093663338 Active

Practice location

300 Pasteur Drive, Lane 154
Stanford, CA 94305-5133

Fax (650) 498-6205

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093663338

Logan Robert Jefferson Bailey, MD, PhD's National Provider Identifier is 1093663338, issued on Mar 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stanford, CA. The record was last updated on Mar 20, 2026.