Individual
MR. ROBERT W BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
216 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1026
(314) 454-7954
(314) 454-7963
Mailing address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(314) 454-7954
(314) 454-7963
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
060493
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916778608
—
MO
Enumeration date
07/18/2006
Last updated
07/21/2009
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