Organization
CURTIS R BAXSTROM JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS R. BAXSTROM (OWNER)
(253) 661-6005
Entity
Organization
Contact information
Practice address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005
Mailing address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1583
WA
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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