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NPI Code Detail

MEDICARE: BYRON T. GARIBALDI, M.D., P.A.

MEDICARE: BYRON T. GARIBALDI, M.D., P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine Physician

General Provider Information

NPI Number : 1801696265
Entity Type Code : Organization
Provider Name (Legal Business Name) : BYRON T. GARIBALDI, M.D., P.A.
Provider Business Mailing Address
First Line : 3807 VALLEY VIEW DR
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6743
Country : US
Telephone Number : 479-966-5424
Fax Number :
Provider Business Practice Location Address
First Line : 3807 VALLEY VIEW DR
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6743
Country : US
Telephone Number : 479-966-5424
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. BYRON THOMAS GARIBALDI
Credential : MD
Telephone Number : 479-966-5424
Provider Enumeration Date : 03/15/2025
Last Update Date : 03/15/2025

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