Provider Demographics
NPI:1194798512
Name:BAIRD, WILLIAM A (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:BAIRD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4049 S CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-5303
Mailing Address - Country:US
Mailing Address - Phone:417-890-5550
Mailing Address - Fax:417-889-6898
Practice Address - Street 1:4049 S CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5303
Practice Address - Country:US
Practice Address - Phone:417-890-5550
Practice Address - Fax:417-889-6898
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2008-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO112740207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOF66145Medicare UPIN