Randell Edward Bauman in Port Angeles - Specialist

Randell Edward Bauman - NPI 1629004213

Randell Edward Bauman is a Specialist in Port Angeles, Washington. Randell Edward Bauman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Randell Edward Bauman is 1629004213. The last update date is 2007-07-08.

Randell Edward Bauman's current location address is Po Box 2429, Port Angeles, Washington. You can contact this provider via phone number 3604177365 and fax number 3604527303. The mailing address for Randell Edward Bauman is Po Box 2429, Port Angeles, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Randell Edward Bauman
Address Po Box 2429, Port Angeles, Washington
Phone Number 3604177365
Fax Number 3604527303
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1629004213
Provider Enumeration Date 2006-06-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 2429
City Port Angeles
State Washington (WA)
Post Code 983620311
Phone Number 3604177365
Fax Number 3604527303

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD00044431
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.

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FAQs about Randell Edward Bauman

What is the unique identifier code issued to Randell Edward Bauman by the Centers for Medicare & Medicaid Services (CMS)?

The Randell Edward Bauman has been assigned the NPI (National Provider Identifier) 1629004213. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Randell Edward Bauman's physical address?

The Randell Edward Bauman is physically located at Po Box 2429, in the city of Port Angeles, WA, with the postal code 983620311.

What is Randell Edward Bauman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Randell Edward Bauman is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629004213 to Randell Edward Bauman?

The Centers for Medicare & Medicaid Services originally issued the 1629004213 to Randell Edward Bauman on 2006-06-24.

As of what date were the Randell Edward Bauman's details last updated?

The information pertaining to the Randell Edward Bauman, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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