Individual
AMY CLAIRE BACCHUS
Active
Individual
AMY CLAIRE BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
24281
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200054560A
—
OK
01
—
450778109
TRICARE
OK
Enumeration date
07/21/2005
Last updated
01/14/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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