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Organization
BAXTER PLASTIC SURGERY
Active
Organization
BAXTER PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALAN BAXTER M.D. (OWNER)
(425) 776-0880
Entity
Organization
Contact information
Practice address
6100 219TH ST SW, SUITE 290, MOUNTLAKE TERRACE, WA 98043-2222
(425) 776-0880
Mailing address
6100 219TH ST SW, SUITE 290, MOUNTLAKE TERRACE, WA 98043-2222
(425) 776-0880
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD00022150
WA
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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