Organization
BAX MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KILEY BAX MD (OWNER)
(716) 285-7366
Entity
Organization
Contact information
Practice address
700 PARK PL, NIAGARA FALLS, NY 14301-1028
(716) 285-7366
(716) 285-2580
Mailing address
825 ONONDAGA ST, LEWISTON, NY 14092-1422
(716) 940-2555
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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