| NPI | 1598427056 |
|---|---|
| Doing Business As | BAXTER REGIONAL CROSSROADS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LUCINDA CROW Credentialer 870-508-1066 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |