# DALE V BAUMAN DR DALE V BAUMAN MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952675969
- **Authorized official:** DR. DALE VICTOR BAUMAN MD (OWNER/SOLE PROPRIETOR)
- **Authorized official phone:** (318) 752-1502

## Contact information

- **Practice address:** 2300 HOSPITAL DR, SUITE 310, BOSSIER CITY, LA 71111-2166
- **Practice address phone:** (318) 752-1502
- **Mailing address:** 2300 HOSPITAL DR, SUITE 310, BOSSIER CITY, LA 71111-2166
- **Mailing address phone:** (318) 752-1502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD.04029R | LA | Yes |

## Other

- **Enumeration date:** 03/08/2012
- **Last updated:** 03/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2175874 | — | LA |