Individual
STEPHEN BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4490
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4490
(907) 714-4982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11404
AK
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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