Individual
DALE V BAUMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 HOSPITAL DR, #310, BOSSIER CITY, LA 71111-2394
(318) 752-1502
(318) 752-1504
Mailing address
2300 HOSPITAL DR, BOSSIER CITY, LA 71111-2166
(318) 752-1502
(318) 752-1504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04029R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04029R
LA STATE MEDICAL LIC
LA
05
—
1303976
—
LA
01
—
E5348
TX STATE MEDICAL LIC
TX
Enumeration date
03/10/2006
Last updated
07/08/2007
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