Provider Demographics
NPI:1912948910
Name:EFIRD, CHAD DOUGLAS (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:DOUGLAS
Last Name:EFIRD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CAHILL RD
Mailing Address - Street 2:STE 206
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2036
Mailing Address - Country:US
Mailing Address - Phone:417-348-8100
Mailing Address - Fax:417-348-8104
Practice Address - Street 1:121 CAHILL RD
Practice Address - Street 2:STE 206
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2036
Practice Address - Country:US
Practice Address - Phone:417-348-8100
Practice Address - Fax:417-348-8104
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO47813207X00000X
MO2007007764207X00000X
ARE6697207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1912948910Medicaid
AR184638001Medicaid