Individual
MR. ANDREW WILLIAM BAUKOL
Active
Individual
MR. ANDREW WILLIAM BAUKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5322
AZ
363A00000X
Physician Assistant
PT925
WY
363A00000X
Physician Assistant
Primary
—
ID
363AS0400X
Surgical Physician Assistant
PA-1379
ID
363AS0400X
Surgical Physician Assistant
Primary
PT925
WY
363AS0400X
Surgical Physician Assistant
—
SC
Other
Enumeration date
12/05/2012
Last updated
07/20/2026
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