Individual
BYRON DAVID BALDRIDGE
Active
Individual
BYRON DAVID BALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4902
MT
207ND0101X
MOHS-Micrographic Surgery Physician
4902
MT
207NS0135X
Procedural Dermatology Physician
4902
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071422
—
MT
01
—
070000634
RAILROAD MEDICARE
MT
Enumeration date
09/16/2005
Last updated
02/20/2023
Update your record
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