Organization
BYRON DAVID BALDRIDGE
Active
Other names
David Baldridge, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON DAVID BALDRIDGE M.D. (OWNER)
(406) 727-1131
Entity
Organization
Contact information
Practice address
2300 12TH AVE S, SUITE 101, GREAT FALLS, MT 59405-5017
(406) 727-1131
Mailing address
2300 12TH AVE S, SUITE 101, GREAT FALLS, MT 59405-5017
(406) 727-1131
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4902
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071422
—
MT
Enumeration date
05/21/2007
Last updated
08/22/2020
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