Individual
RONALD BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7601 S REDWOOD RD BLDG E, WEST JORDAN, UT 84084-4007
(801) 233-8670
Mailing address
7601 S REDWOOD RD BLDG E, WEST JORDAN, UT 84084-4007
(801) 233-8670
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
322409-1204
UT
305R00000X
Preferred Provider Organization
963224091204
UT
Other
Enumeration date
09/13/2007
Last updated
11/03/2021
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