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Individual

DR. KIRKMAN G BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2600 6TH ST SW, RADIOLOGY ASSOCIATES OF CANTON, INC - ATTN: CECILIA, CANTON, OH 44710-1702
(330) 363-2842
(330) 580-5536
Mailing address
PO BOX 26035, RADIOLOGY ASSOCIATES OF CANTON, INC, AKRON, OH 44319-6035
(330) 493-0840
(330) 493-7123

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
35 077495
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35 077495
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2193255
OH
01
300112746
RAILROAD MEDICARE
OH
01
300136937
RAILROAD MEDICARE
OH
01
P00396876
RAILROAD MEDICARE
OH
Enumeration date
10/31/2005
Last updated
12/05/2007
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