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Individual

BEAU J BAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2344
Mailing address
48TH MEDICAL GROUP UNIT 5115, APO, AE 09461-5115

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01067251A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
148511
CA

Other

Enumeration date
06/12/2008
Last updated
08/02/2021
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