| NPI | 1548927429 |
|---|---|
| Doing Business As | BAXTER REGIONAL GENERAL SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LUCINDA CROW PFS Analyst 870-508-1081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2021-11-26 |