| Beth Anne Baxter, Rn/cs, LLC | |
|
822 W 1st St Ste 1 Bloomington IN 47403-2384 | |
| (812) 323-0971 | |
| Not Available |
| Full Name | Beth Anne Baxter, Rn/cs, LLC |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 822 W 1st St, Bloomington, Indiana |
| Authorized Official Name and Position | Beth a Baxter (PRESIDENT) |
| Authorized Official Contact | 8123230971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Anne Baxter, Rn/cs, LLC 822 W 1st St Ste 1 Bloomington IN 47403-2384 Ph: (812) 323-0971 | Beth Anne Baxter, Rn/cs, LLC 822 W 1st St Ste 1 Bloomington IN 47403-2384 Ph: (812) 323-0971 |
| NPI Number | 1588845382 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588845382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 71000050A (Indiana) | Primary |
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