Healthcare Provider Details

I. General information

NPI: 1801696265
Provider Name (Legal Business Name): BYRON T. GARIBALDI, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2025
Last Update Date: 03/15/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 VALLEY VIEW DR
SPRINGDALE AR
72762-6743
US

IV. Provider business mailing address

3807 VALLEY VIEW DR
SPRINGDALE AR
72762-6743
US

V. Phone/Fax

Practice location:
  • Phone: 479-966-5424
  • Fax:
Mailing address:
  • Phone: 479-966-5424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. BYRON THOMAS GARIBALDI
Title or Position: PRESIDENT
Credential: MD
Phone: 479-966-5424