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Individual

DR. DANIEL V BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4461 STARKEY ROAD, SUITE 201, ROANOKE, VA 24018
(540) 345-4946
(540) 343-7693
Mailing address
4461 STARKEY ROAD, SUITE 201, ROANOKE, VA 24018
(540) 345-4946
(540) 982-7164

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101059336
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043257611
VA
01
110234940
RAILROAD MEDICARE
VA
01
259528
ANTHEM
VA
01
312973
SOUTHERN HEALTH
VA
01
3580603
CIGNA
VA
01
7253008
AETNA
VA
Enumeration date
06/01/2006
Last updated
04/05/2011
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