Individual
MR. FRED A BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4496
(307) 877-9769
Mailing address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4496
(307) 877-9769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
175
WY
Other
Enumeration date
10/18/2006
Last updated
01/06/2012
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