Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | E-8100 | AR |
NPI | 1003133877 |
---|---|
Provider Name | Brian C. Baird |
First Address | Bryant, AR 72015-3353 |
Second Address | Bryant, AR 72015-3353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 04/09/2016 |