Individual
ROGER DAVID BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64793, BALTIMORE, MD 21264-4793
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R126753
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
981860000
—
MD
Enumeration date
11/10/2005
Last updated
05/29/2008
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