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BYRON DAVID BALDRIDGE MD

Surgery Yellow Pages

Great Falls, Montana

Provider NPI: 1720073596

Provider Information:
 BYRON DAVID BALDRIDGE MD


Practice Location:
2300 12TH AVE S SUITE 101 GREAT FALLS, MT 59405 US
Tel: 406-727-1131  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ND0101XPhysicians
Dermatology
MOHS-Micrographic Surgery
MT4902
N207NS0135XPhysicians
Dermatology
MT4902
Y207N00000XPhysicians
Dermatology
MT4902

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARE070000634MT01
0071422MT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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