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CALVIN D BAIZE D.P.M.
Foot Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service ProvidersRegistrant NPI Number: 1477644516
Individual Registrant: CALVIN D BAIZE D.P.M.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2375 WHITE DR BATESVILLE, AR 72501-9473 US
Tel: 870-345-3180 Fax: 870-345-3180
Tel: 870-345-3180 Fax: 870-345-3180
Contact information for business:
1816 E. MAIN ST. MOUNTAIN VIEW, AR 72560-2561 US
Tel: 870-345-3180 Fax: 870-345-3180
Tel: 870-345-3180 Fax: 870-345-3180
Registration Information:
NPI: 1477644516
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 213ES0131X | Podiatric Medicine & Surgery Service Providers Podiatrist Foot Surgery | AR | 264 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 214952717 | AR | 05 | |
| BLUE CROSS BLUE SHIELD | 5AS95 | AR | 01 |
| PALMETTO GBA MEDICARE RAILROAD | P01670985 | AR | 01 |
