Provider Demographics
NPI:1811052384
Name:BALDWIN, ALLISTER
Entity type:Individual
Prefix:DR
First Name:ALLISTER
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL HOSPITAL, ATTENTION FAMILY PRACTICE
Mailing Address - Street 2:BUILDING H-100, SANTA MARGARITA ROAD
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5191
Mailing Address - Country:US
Mailing Address - Phone:760-725-1400
Mailing Address - Fax:760-725-1267
Practice Address - Street 1:NAVAL HOSPITAL, ATTENTION FAMILY PRACTICE
Practice Address - Street 2:BUILDING H-100, SANTA MARGARITA ROAD
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055-5191
Practice Address - Country:US
Practice Address - Phone:760-725-1400
Practice Address - Fax:760-725-1267
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program