Provider Demographics
NPI:1376848804
Name:BALDWIN, FRANK (PAC)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:8889 FOX DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-8841
Mailing Address - Country:US
Mailing Address - Phone:303-853-3529
Mailing Address - Fax:303-426-9581
Practice Address - Street 1:8889 FOX DR
Practice Address - Street 2:SUITE A
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-8841
Practice Address - Country:US
Practice Address - Phone:303-853-3529
Practice Address - Fax:303-426-9581
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2016-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054760363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant