Individual
ADAM BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14079 S EMMELINE DR, HERRIMAN, UT 84096-1796
(801) 979-8696
Mailing address
14079 S EMMELINE DR, HERRIMAN, UT 84096-1796
(801) 979-8696
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/24/2022
Last updated
11/24/2022
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