Provider Demographics
NPI:1801957022
Name:BALDI, PHILLIP BARNEY (DO)
Entity type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:BARNEY
Last Name:BALDI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1600 CREEKSIDE DRIVE
Mailing Address - Street 2:STE 1300
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630
Mailing Address - Country:US
Mailing Address - Phone:916-984-7880
Mailing Address - Fax:916-983-8588
Practice Address - Street 1:1600 CREEKSIDE DR
Practice Address - Street 2:STE 1300
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3444
Practice Address - Country:US
Practice Address - Phone:916-984-7880
Practice Address - Fax:916-983-8588
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA4854173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine