Individual
WILLIAM H BAUMGARTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130
(702) 839-1203
(702) 839-1301
Mailing address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130
(702) 507-0983
(702) 839-1301
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G67802
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
13914
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
G067802
CA
207N00000X
Dermatology Physician
G067802
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G067802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G678020
BS OF CA
CA
Enumeration date
06/21/2006
Last updated
08/05/2024
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