Organization
JOHN BAUSHER MD PHD PS
Active
Other names
John C Bausher MD PhD
Organization subpart
No
Provider details
NPI number
Authorized official
JAN DAHL (OFFICE MANAGER)
(360) 533-6063
Entity
Organization
Contact information
Practice address
1020 ANDERSON DR, SUITE 203, ABERDEEN, WA 98520-1055
(360) 533-6063
(360) 533-2204
Mailing address
1020 ANDERSON DR, SUITE 203, ABERDEEN, WA 98520-1055
(360) 533-6063
(360) 533-2204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00017464
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1097419
—
WA
Enumeration date
02/06/2007
Last updated
01/04/2008
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