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Organization

CARLA J BAUMAN MD PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLA J BAUMAN MD (MEDICAL DIRECTOR)
(425) 455-3376
Entity
Organization

Contact information

Practice address
626 120TH AVE NE STE B104, BELLEVUE, WA 98005-3077
(425) 455-3376
Mailing address
626 120TH AVE NE STE B104, BELLEVUE, WA 98005-3077
(425) 455-3376

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
12/31/2014
Last updated
07/17/2020
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