Individual
MICHAEL B BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
271 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 968-2311
(423) 968-2312
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD0000027671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290000156
TRAILBLAZERS MEDICARE
VA
01
—
290009065
PALMETTO RR MEDICARE
TN
01
—
290009065
PALMETTO RR MEDICARE
VA
05
—
3098673
—
TN
05
—
6472118600
—
KY
Enumeration date
08/25/2005
Last updated
07/27/2012
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