Individual
MICAH J BAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
(678) 553-8152
Mailing address
PO BOX 3488, DEPT 05-113, TUPELO, MS 38803-3488
(678) 553-8150
(678) 553-8152
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23454
MS
208D00000X
General Practice Physician
23811
NE
Other
Enumeration date
10/10/2006
Last updated
03/17/2018
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