Individual
DR. BRANTLY BAYNES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, 88 MDG/SGH2, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-9123
Mailing address
1121 PURSELL AVE, DAYTON, OH 45420-1942
(937) 257-9123
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101049687
VA
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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