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NPI Code Detail

MEDICARE: MARTHA E LAIRD MD

MEDICARE: MARTHA E LAIRD MD
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
1207V00000XObstetrics & Gynecology Physician25704AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2Z130267OTHERAZMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730177577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA E LAIRD MD
Provider Business Mailing Address
First Line : 2424 N WYATT DR
Second Line : STE. 260
City : TUCSON
State : AZ
Zip : 85712-6115
Country : US
Telephone Number : 520-795-0549
Fax Number : 520-795-0354
Provider Business Practice Location Address
First Line : 6261 N LA CHOLLA BLVD STE 277
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3564
Country : US
Telephone Number : 520-877-3800
Fax Number : 520-877-3801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 01/26/2021

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Directions to “ MARTHA E LAIRD MD” Practice Location

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