Provider profile

Individual

Baxter Key Richardson

Radiology in Jackson, CA. NPI 1306109905, listed in the CMS NPI Registry since 06/19/2012. Bills Medicare.

NPI 1306109905Specialty RadiologyEnumerated 06/19/2012
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Registry and Medicare facts

Practice location
200 Mission Blvd, Jackson, CA 95642
CMS NPI Registry
Phone
(209) 223-7560
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
06/19/2012
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
4,464 Part B
CMS Medicare 2024

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