Individual
KARL M. BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5131 E SOUTHERN AVE, MESA, AZ 85206-2799
(480) 833-5437
(480) 833-9349
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22020
AZ
2080A0000X
Pediatric Adolescent Medicine Physician
22020
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166654
—
AZ
Enumeration date
07/14/2005
Last updated
01/15/2018
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