NPI | 1114136983 |
---|---|
Doing Business As | DAVID BALDRIDGE, M.D. |
Entity Type | Organization |
Authorized Contact | BYRON DAVID BALDRIDGE Owner 406-727-1131 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MT 4902) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |