Provider Demographics
NPI:1588982219
Name:BAIRD, MARY EMLYN GARBER (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:EMLYN GARBER
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EMMY
Other - Middle Name:GARBER
Other - Last Name:BAIRD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2260 E 39TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-3408
Mailing Address - Country:US
Mailing Address - Phone:918-619-4300
Mailing Address - Fax:
Practice Address - Street 1:4444 EAST 41ST STREET
Practice Address - Street 2:OU PEDIATRICS
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2512
Practice Address - Country:US
Practice Address - Phone:918-619-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK27888208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics