Taelor Baetz, PA Valid NPI

Individual provider · Physician Assistant · Ponca City, OK

NPI

1881385656

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

5266 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2023-05-15

Last updated

2024-07-10