Individual
DR. HEIDI BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1026 W WEST COVINA PKWY, WEST COVINA, CA 91790-8204
(626) 962-5868
Mailing address
1026 W WEST COVINA PKWY, WEST COVINA, CA 91790-8204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14803TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1291566296
—
CA
Enumeration date
12/02/2013
Last updated
10/12/2021
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