| NPI | 1851725139 |
|---|---|
| Doing Business As | BAXTER REGIONAL FAMILY CLINIC ON MARKET |
| Doing Business As | BAXTER REGIONAL FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2021-01-06 |