Individual
THOMAS W BAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11209 N TATUM BLVD, 175, PHOENIX, AZ 85028-3091
(602) 652-8900
(602) 652-8909
Mailing address
11209 N TATUM BLVD, 175, PHOENIX, AZ 85028-3091
(602) 652-8900
(602) 652-8909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24557
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393827
—
AZ
Enumeration date
08/29/2005
Last updated
10/20/2010
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