Individual
DR. RICHARD THOMAS BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6065 S FASHION BLVD, #275, MURRAY, UT 84107-7381
(801) 590-8687
(801) 590-8617
Mailing address
6065 S FASHION BLVD, #275, MURRAY, UT 84107-7381
(801) 590-8687
(801) 590-8617
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5930166
UT
Other
Enumeration date
09/13/2006
Last updated
09/05/2012
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