Individual
SAMUEL H BAIRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14502 W MEEKER BLVD, PHYSICIAN IS A HOSPTIALIST ONLY, SUN CITY WEST, AZ 85375-5282
(206) 290-2756
(623) 974-9434
Mailing address
4410 W UNION HILLS DR, # 7, PMB # 280, GLENDALE, AZ 85308-1660
(623) 974-6611
(623) 974-9434
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
203365
LA
207RI0200X
Infectious Disease Physician
Primary
45091
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
664569
—
AZ
Enumeration date
05/10/2007
Last updated
10/02/2014
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