| NPI | 1457893281 |
|---|---|
| Doing Business As | BAXTER REGIONAL GASTROENTEROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2019-10-10 |