# BAXTER DREW WELLMON II D.O.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356474456
- **Authorized official:** DR. BAXTER DREW WELLMON II D.O. (OWNER)
- **Authorized official phone:** (717) 532-3211

## Contact information

- **Practice address:** 97 PROGRESS BLVD, SUITE 1, SHIPPENSBURG, PA 17257-8131
- **Practice address phone:** (717) 532-3211
- **Practice address fax:** (717) 532-3099
- **Mailing address:** 97 PROGRESS BLVD, SUITE 1, SHIPPENSBURG, PA 17257-8131
- **Mailing address phone:** (717) 532-3211
- **Mailing address fax:** (717) 532-3099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS009662L | PA | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 12/10/2008