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NPI Code Detail

MEDICARE: MS. DEBORAH BAIRD PA-C

MEDICARE: MS. DEBORAH BAIRD PA-C
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
1363A00000XPhysician AssistantMA001867LPA

General Provider Information

NPI Number : 1477527356
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH BAIRD PA-C
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line : CREDENTIALS DEPT
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number :
Provider Business Practice Location Address
First Line : 675 BALTIMORE DR
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-7900
Country : US
Telephone Number : 570-808-5780
Fax Number : 570-808-5753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 12/30/2020

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Directions to “ MS. DEBORAH BAIRD PA-C” Practice Location

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