Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 252873-1 | NY |
N | 207VG0400X | Gynecologist | 252873 | NY |
NPI | 1093929358 |
---|---|
Provider Name | Mr. Franklin Ross Baxter |
First Address | Rochester, NY 14617 |
Second Address | Rochester, NY 14617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 30/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03452059 | (05) | NY |