Doctor Name: | ROBERT RYAN BALDWIN |
NPI Number: | 1447383070 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CAS II |
License Number: | 03-044570 |
Business Practice Address: | 937 Spring St Placerville, CA - 956674543 |
Business Phone Number: | 5306216232 |
Business Fax Number: | |
Mailing Address: | 2684 Coloma Ct, Apt. 57 PLACERVILLE |
State: | CA |
Postal Code: | 956673443 |
Phone Number: | 5304002135 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 03-044570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |