Individual
DR. CURTIS R. BAXSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005
(253) 661-0633
Mailing address
1705 S 324TH PL, FEDERAL WAY, WA 98003-8504
(253) 661-6005
(253) 661-0633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1583TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015261
—
WA
Enumeration date
08/19/2005
Last updated
07/01/2010
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