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Individual

ALEXA J ZINK BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 356-2148
(319) 353-8383
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2148
(319) 353-8383

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001841
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DA1548
RAILROAD MEDICARE GROUP
01
I21756
MEDICARE PTAN
IA
01
I9767
MEDICARE GROUP PTAN
01
P00464899
PTAN
IA
Enumeration date
09/12/2007
Last updated
09/05/2018
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