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Dr. Heidi Baxter, O.D.

Optometrist in West Covina, CA. Individual provider (NPI-1).

NPI number1295166296
StatusActive
Last updated in NPPESOct 12, 2021

Details

NPI
1295166296
Entity type
Individual (NPI-1)
Name
Dr. Heidi Baxter
Credential
O.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 2, 2013
Certification date
Oct 12, 2021
Last updated
Oct 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist14803TLGCAYes

Practice location

1026 W West Covina Pkwy
West Covina, CA 91790-8204

Phone 626-962-5868

Mailing address

1026 W West Covina Pkwy
West Covina, CA 91790-8204

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