Individual
MR. GERALD BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
474 N HWY 89, CHINO VALLEY, AZ 86323-5993
(928) 636-5680
(928) 636-5853
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60507644
WA
363AM0700X
Medical Physician Assistant
Primary
7033
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376503
—
AZ
Enumeration date
08/26/2014
Last updated
02/03/2025
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