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NPI Code Detail

MEDICARE: JORDAN BAXTER MD

MEDICARE: JORDAN BAXTER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramMT

General Provider Information

NPI Number : 1528902228
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN BAXTER MD
Provider Business Mailing Address
First Line : 123 S 27TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-4227
Country : US
Telephone Number : 406-247-3350
Fax Number : 406-247-3389
Provider Business Practice Location Address
First Line : 123 S 27TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-4227
Country : US
Telephone Number : 406-247-3350
Fax Number : 406-247-3389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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