Individual
BENJAMIN HEBER BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3777 PECOS MCLEOD STE 103, LAS VEGAS, NV 89121-4265
(720) 434-2023
Mailing address
1102 BROOMFIELD DR, HENDERSON, NV 89074-7850
(801) 380-7419
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2015
NV
Other
Enumeration date
05/06/2013
Last updated
07/06/2016
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