Organization
BAXTER CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON R FETTERMAN (PRESIDENT)
(814) 849-5834
Entity
Organization
Contact information
Practice address
56 INDUSTRIAL PARK RD STE 2, BROOKVILLE, PA 15825-7244
(814) 849-5834
Mailing address
56 INDUSTRIAL PARK RD STE 2, BROOKVILLE, PA 15825-7244
(814) 849-5834
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007942L
PA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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