Organization
DAVID A BAXTER IV, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A BAXTER IV MD (SHAREHOLDER)
(307) 235-4504
Entity
Organization
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-7201
Mailing address
742 S DAVID ST, CASPER, WY 82601-3137
(307) 234-9657
(307) 234-0306
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7586A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125855900
—
WY
Enumeration date
03/13/2008
Last updated
01/16/2014
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