Rene Philippe Baquet, PA Valid NPI
Individual provider · Surgical Physician Assistant · Azusa, CA
- NPI
- 1205928140
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AS0400X
- License number
- PA11523 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-09-29
- Last updated
- 2012-02-13
Practice location
223 S Murray Ave
Azusa, CA 91702-4610
(626) 969-4509