Individual
DR. GARY BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
982 E COLUMBIA AVE, COLVILLE, WA 99114-3316
(509) 935-0824
Mailing address
910 N WASHINGTON ST, STE 209, SPOKANE, WA 99201-2202
(509) 232-1145
(509) 232-1165
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016261
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7469BA
ASURIS
WA
01
—
8078300200
ID MEDICAID
—
01
—
8491862
WA MEDICAID
WA
01
—
AB32999
MEDICARE GROUP
WA
Enumeration date
02/07/2006
Last updated
12/04/2007
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