Individual
DR. MARK E BALDREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4250 E CAMEL BACK RD, SUITE K250, PHOENIX, AZ 85018
(602) 254-9398
(602) 252-6405
Mailing address
4250 E CAMEL BACK RD, SUITE K250, PHOENIX, AZ 85018
(602) 254-9398
(602) 252-6405
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
12576
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0013130
BLUE CROSS
—
Enumeration date
04/21/2006
Last updated
07/08/2007
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