Individual
DR. BRUCE EARL BAUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 372-1480
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
(405) 372-1480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4051
OK
208M00000X
Hospitalist Physician
Primary
4051
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00252783
RAILROAD MEDICARE
OK
Enumeration date
03/22/2006
Last updated
03/10/2020
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