CODY M BAXTER

FARGO, ND
NPI1922590181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-06-04
Last Update Date2023-08-08
Business Address
CODY M BAXTER
3625 LINCOLN ST S STE C
FARGO, ND 58104-7766
Phone number: 701-532-2458
Mailing Address
CODY M BAXTER
3625 LINCOLN ST S STE C
FARGO, ND 58104-7766
Phone number: 701-532-2458
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