SHANE BAXTER
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1306779111- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1113 PROGRESS DR, MEDFORD, OR, 975045201
- Phone
- (541) 535-6239
Specialties & Taxonomies
Dentist
Primary License: OR #D12341
All Addresses
MAILING
931 CHEVY WAY
MEDFORD, OR, 975044127