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MR. DONALD IRVING BAIRD MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1972554301
Individual Registrant:MR. DONALD IRVING BAIRD MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3304 RENNER DR FORTUNA, CA 95540-7102 US
Tel: 707-725-4477 Fax: 707-725-9209
Tel: 707-725-4477 Fax: 707-725-9209
Contact information for business:
670 9TH ST SUITE 203 ARCATA, CA 95521-6248 US
Tel: 707-826-8633 Fax: 707-826-8638
Tel: 707-826-8633 Fax: 707-826-8638
Registration Information:
NPI: 1972554301
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | ME | 013802 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | G32307 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| DEA | AB7249659 | 01 | |
| OOG323070 | CA | 05 |
