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Individual
MARK DAVID BAYHA
Active
Individual
MARK DAVID BAYHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007405L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001438405
HIGHMARK BC/BS
PA
05
—
1008499390001
—
PA
01
—
157215
THREE RIVERS HEALTH PLAN
PA
Enumeration date
09/26/2005
Last updated
06/30/2011
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