Organization
DERMATOLOGY ASSOC OF ERIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L BAXTER JR. MD (VICE PRESIDENT)
(814) 456-7548
Entity
Organization
Contact information
Practice address
3416 STATE ST, ERIE, PA 16508-2832
(814) 456-7548
(814) 456-5037
Mailing address
3416 STATE ST, ERIE, PA 16508-2832
(814) 456-7548
(814) 456-5037
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
PA
Other
Enumeration date
08/03/2005
Last updated
07/21/2022
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