Individual
GREGORY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 746-7555
(208) 746-7556
Mailing address
PO BOX 9911, MOSCOW, ID 83843-0200
(208) 746-7555
(208) 746-7556
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
24436
ID
367500000X
Certified Registered Nurse Anesthetist
RN26353
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA690
ID
Other
Enumeration date
12/27/2006
Last updated
09/15/2025
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