| Doctor Name: | MR. RONALD JOE BYRD |
| NPI Number: | 1336396415 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | AP3061 |
| Business Practice Address: | 590 S Main St Snowflake, AZ - 859375228 |
| Business Phone Number: | 9285367519 |
| Business Fax Number: | 9285367305 |
| Mailing Address: | 590 S Main St, SNOWFLAKE |
| State: | AZ |
| Postal Code: | 859375228 |
| Phone Number: | 9285367519 |
| Fax Number: | 9285367305 |
| NPI Enumeration Date: | 08/20/2008 |
| NPI Last Update Date: | 07/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP3061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |