Individual
EWA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 COURT ST, REDDING, CA 96001-1822
(530) 243-1236
(530) 243-8502
Mailing address
PO BOX 492080, REDDING, CA 96049-2080
(530) 241-0473
(530) 241-5377
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G82070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G820702
—
CA
Enumeration date
07/20/2006
Last updated
11/14/2011
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