Individual
DR. TESSA ELISABETH BAUMGARDNER
Active
Individual
DR. TESSA ELISABETH BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
005960
AZ
207L00000X
Anesthesiology Physician
Primary
OS11873
FL
208000000X
Pediatrics Physician
005960
AZ
208000000X
Pediatrics Physician
OS11873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009784800
—
FL
Enumeration date
04/17/2009
Last updated
04/30/2021
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