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
1	207QA0505X	Adult 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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