MR. Wyatt Dale Baxter, PA-C

NPI #1104293158 in West Burlington, Iowa

Provider Information

NPI Number: 1104293158
Entity Type: Individual
Name: MR. Wyatt Dale Baxter, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 25, 2015
Last Updated: Aug 25, 2015

Practice Location

Address: 1221 S GEAR AVE
City: West Burlington
State: Iowa
ZIP Code: 52655-1679
Phone: (319) 768-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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