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Individual

CRAIG STEVE BAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3333 BARDSTOWN RD, LOUISVILLE, KY 40218-4613
(502) 452-6337
(502) 452-6337
Mailing address
3333 BARDSTOWN ROAD, LOUISVILLE, KY 40218
(502) 452-6337
(502) 458-5327

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37874
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200463370
IN
05
64054224
KY
Enumeration date
12/20/2005
Last updated
09/12/2013
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