Individual
CARL LEROY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 S 2ND AVE, WALLA WALLA, WA 99362-4118
(509) 522-0100
(509) 527-8010
Mailing address
1111 S. 2ND AVE, WALLA WALLA, WA 99362
(509) 522-0100
(509) 527-8010
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00049068
WA
Other
Enumeration date
04/29/2009
Last updated
07/12/2010
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