Individual
DR. SIDNEY LINCOLN BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5848 S FASHION BLVD STE 110, SALT LAKE CITY, UT 84107-6175
(801) 314-5025
(801) 314-4015
Mailing address
5848 S FASHION BLVD STE 110, SALT LAKE CITY, UT 84107-6175
(801) 314-5025
(801) 314-4015
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
9434735-1205
UT
Other
Enumeration date
03/26/2009
Last updated
08/18/2015
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