Individual
MICHAEL L. BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4240 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2420
(208) 238-2020
(208) 230-2069
Mailing address
966 OLD GLORY WAY, CHUBBUCK, ID 83202-1779
(208) 709-0540
(208) 238-2069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP967
ID
Other
Enumeration date
04/09/2008
Last updated
07/21/2022
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