Individual
DR. RICHARD LEO BAUMANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
188 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 248-1010
(573) 248-0536
Mailing address
188 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 248-1010
(573) 231-0046
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
102016
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004011765
MEDICARE PROVIDER NUMBER
MO
05
—
205696909
—
MO
Enumeration date
07/29/2005
Last updated
04/09/2024
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