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NPI Code Detail

MEDICARE: DR. MARY EMLYN GARBER BAIRD M.D.

MEDICARE:  DR. MARY EMLYN GARBER BAIRD  M.D.
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
1208000000XPediatrics Physician27888OK

General Provider Information

NPI Number : 1588982219
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY EMLYN GARBER BAIRD M.D.
Provider Business Mailing Address
First Line : 2260 E 39TH ST
Second Line :
City : TULSA
State : OK
Zip : 74105-3408
Country : US
Telephone Number : 918-619-4300
Fax Number :
Provider Business Practice Location Address
First Line : 4444 EAST 41ST STREET
Second Line : OU PEDIATRICS
City : TULSA
State : OK
Zip : 74135-2512
Country : US
Telephone Number : 918-619-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2010
Last Update Date : 02/12/2020

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Directions to “ DR. MARY EMLYN GARBER BAIRD M.D.” Practice Location

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