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Curtis R Baxstrom Jr

Optometrist in Federal Way, WA. Organization (NPI-2).

NPI number1164545612
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1164545612
Entity type
Organization (NPI-2)
Legal business name
Curtis R Baxstrom Jr
Organization subpart
No
Enumeration date
Apr 9, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1583WAYes

Practice location

1705 S 324th Pl
Federal Way, WA 98003-8504

Phone 253-661-6005

Mailing address

1705 S 324th Pl
Federal Way, WA 98003-8504

Phone 253-661-6005

Authorized official

Curtis R. Baxstrom
Owner
2536616005

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