Provider Demographics
NPI:1326050238
Name:BARON, DAVID EDWARD (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:EDWARD
Last Name:BARON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:8352 W FOOTHILL DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-2035
Mailing Address - Country:US
Mailing Address - Phone:602-290-1664
Mailing Address - Fax:855-224-1695
Practice Address - Street 1:8352 W FOOTHILL DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-2035
Practice Address - Country:US
Practice Address - Phone:602-290-1664
Practice Address - Fax:855-224-1695
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2023-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3057363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q31488Medicare UPIN