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Individual

MR. BRIAN J BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN

Contact information

Practice address
500 E ROBINSON ST, SUITE 2600, NORMAN, OK 73071-6697
(405) 364-6432
(405) 928-7513
Mailing address
500 E ROBINSON ST, SUITE 2600, NORMAN, OK 73071-6697
(405) 364-6432
(405) 928-7513

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
93020
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200436340A
OK
Enumeration date
05/25/2012
Last updated
01/09/2014
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