NPI 1922590181 · live from the CMS NPI Registry
Cody M Baxter
Physician Assistant in Fargo, ND. National Provider Identifier 1922590181, active.
NPI record
| NPI | 1922590181 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3625 Lincoln St S Ste C, Fargo, ND 58104 |
| Practice phone | 701-532-2458 |
| Enumerated | June 4, 2018 |
| Last updated | August 8, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.