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BLAISE W BAXTER MD

Individual Provider (NPI-1) Active

Radiology, Vascular & Interventional Radiology

Provider Information

NPI Number
1487681342
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1100 VAN NESS AVE, SAN FRANCISCO, CA, 941096978
Phone
(415) 600-7887
Fax
(415) 369-1395

Specialties & Taxonomies

Radiology, Diagnostic Radiology License: TN #31416
Radiology, Diagnostic Radiology License: CA #C171504
Radiology, Vascular & Interventional Radiology License: RI #MD19382
Radiology, Vascular & Interventional Radiology Primary License: PA #MD468416

All Addresses

MAILING

325 DISTEL CIR

LOS ALTOS, CA, 940221408

(415) 600-7887

LOCATION

1100 VAN NESS AVE

SAN FRANCISCO, CA, 941096978

(415) 600-7887