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Blaise W Baxter, MD
Vascular & Interventional Radiology Physician in San Francisco, California
NPI 1487681342

Blaise W Baxter is a Vascular & Interventional Radiology Physician based in Los Altos, CA and is specialized in Vascular & Interventional Radiology. Blaise W Baxter practices in San Francisco, CA and has the professional credentials of MD. The NPI Number for Blaise W Baxter is 1487681342 and holds a License No. 31416 (California).

The current practice location address for Blaise W Baxter is 1100 Van Ness Ave, San Francisco, CA and can be reached out via phone at 415-600-7887 and via fax at 415-369-1395. You can also correspond with Blaise W Baxter through the mailing address at 325 DISTEL CIR, LOS ALTOS, CA - 94022-1408 (mailing address contact number: 415-600-7887).

Location: 1100 Van Ness Ave, San Francisco, CA, 94022-1408
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Provider Profile Details
NPI Number
1487681342
Provider Name
Blaise W Baxter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Van Ness Ave, San Francisco, CA, 94022-1408
Phone Number
415-600-7887
Fax Number
415-369-1395
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C171504 01 CA STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1100 Van Ness Ave
City
State
Zip
94109-6978
Phone Number
415-600-7887
Fax Number
415-369-1395
person
Provider Business Mailing Address Details
Address
325 Distel Cir
City
State
Zip
94022-1408
Phone Number
415-600-7887
Fax Number
415-369-1395
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
C171504 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
31416 (Tennessee)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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