Individual
JOHN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
(509) 659-0632
Mailing address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
(509) 659-0632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61354819
WA
Other
Enumeration date
11/01/2022
Last updated
11/20/2024
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