Individual
DANIEL ROBERT BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2210 E. ILLINOIS AVE, SUITE 401, FRESNO, CA 93701
(559) 320-0531
(559) 320-0539
Mailing address
4910 E. CLINTON WAY, SUITE 101, FRESNO, CA 93727-1505
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G86197
CA
207XS0106X
Orthopaedic Hand Surgery Physician
G86197
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
G86197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G861970
—
CA
01
—
BJ842Z
PTAN
CA
Enumeration date
08/30/2006
Last updated
04/10/2012
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