# DAVID A BAXTER IV, MD, PC

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

## Provider details

- **NPI number:** 1972774370
- **Authorized official:** DAVID A BAXTER IV MD (SHAREHOLDER)
- **Authorized official phone:** (307) 235-4504

## Contact information

- **Practice address:** 1233 E 2ND ST, CASPER, WY 82601-2926
- **Practice address phone:** (307) 577-7201
- **Mailing address:** 742 S DAVID ST, CASPER, WY 82601-3137
- **Mailing address phone:** (307) 234-9657
- **Mailing address fax:** (307) 234-0306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 7586A | WY | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 01/16/2014