Individual
DR. MARC A BAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 WILLOW CREEK RD, SUITE G, PRESCOTT, AZ 86301-1645
(928) 458-7343
(928) 257-4422
Mailing address
1000 WILLOW CREEK RD, SUITE G, PRESCOTT, AZ 86301-1645
(928) 458-7343
(928) 257-4422
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
15235
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
249872
—
AZ
Enumeration date
04/10/2006
Last updated
03/13/2014
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