Individual provider · Type 1 NPI
Rene Philippe Baquet, PA
Surgical Physician Assistant · Azusa, CA
NPI number
1205928140
Active
Practice location
223 S Murray Ave
Azusa, CA 91702-4610
Mailing address
PO Box 841, Ca
Azusa, CA 91702-0841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA11523 (CA) |
Surgical Physician Assistant: Definition to come...
About NPI 1205928140
Rene Philippe Baquet, PA's National Provider Identifier is 1205928140, issued on Sep 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Azusa, CA. The record was last updated on Feb 13, 2012.