Individual
MRS. ERIN E. BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1801 E KENOSHA ST, BROKEN ARROW, OK 74012-2098
(918) 449-4150
(918) 449-4107
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3333
(918) 488-6653
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1983
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200334270A
—
OK
Enumeration date
02/04/2011
Last updated
08/10/2022
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