# CANYONVIEW FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992711659
- **Authorized official:** DR. RONALD L BAIRD DO (OWNER)
- **Authorized official phone:** (801) 373-7373

## Contact information

- **Practice address:** 3200 N CANYON RD STE C, PROVO, UT 84604-4571
- **Practice address phone:** (801) 373-7373
- **Practice address fax:** (801) 373-1808
- **Mailing address:** 3200 N CANYON RD STE C, PROVO, UT 84604-4571
- **Mailing address phone:** (801) 373-7373
- **Mailing address fax:** (801) 373-1808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 39472 | UT | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 01/04/2008