Individual
MICHAEL ALAN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4444 E 41ST ST, 2ND FLOOR STE A, TULSA, OK 74135-2527
(918) 619-4400
(918) 619-4322
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 619-4300
(918) 619-4322
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4381
OK
2080C0008X
Child Abuse Pediatrics Physician
Primary
4381
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200090380A
—
OK
Enumeration date
07/27/2006
Last updated
12/05/2024
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