Individual
DR. SUSAN ELIZABETH BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4840 N CLOVERDALE RD, BOISE, ID 83713-2423
(208) 706-8000
(208) 706-8001
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M9848
ID
Other
Enumeration date
08/15/2005
Last updated
09/11/2012
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