Individual
DR. JOHN STUART BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PENTAGON, ROOM 4A674, ARLINGTON, VA 20330
(703) 697-3255
Mailing address
4030 HADLEY LN, FAIRFAX, VA 22032-1308
(703) 426-0505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054923
VA
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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