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Individual

ANDREW DALE BAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
710 SUNSET DR STE F, LA GRANDE, OR 97850-1200
(541) 663-3100
(541) 975-5135
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-8421
(541) 963-1476

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP224419
OR
213E00000X
Podiatrist
EL7071
CA

Other

Enumeration date
07/14/2022
Last updated
11/14/2025
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