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Individual

MR. TRACY DAVID BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3300
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
156012-030
WI
163W00000X
Registered Nurse
R175492-8
MN
163WC0200X
Critical Care Medicine Registered Nurse
RN00140081
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60188572
WA

Other

Enumeration date
02/03/2009
Last updated
01/21/2011
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