Provider Demographics
NPI:1588686026
Name:BAIRD, JEFFREY J (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:J
Last Name:BAIRD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10565 N 114TH STREET
Mailing Address - Street 2:103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259
Mailing Address - Country:US
Mailing Address - Phone:480-621-3505
Mailing Address - Fax:480-621-3506
Practice Address - Street 1:10565 N 114TH STREET
Practice Address - Street 2:103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259
Practice Address - Country:US
Practice Address - Phone:480-621-3505
Practice Address - Fax:480-621-3506
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ19097207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE66699Medicare UPIN