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Individual

DR. GREGORY J. BAHDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
850 MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-4705
Mailing address
PO BOX 800, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-4705

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
10739
NH
2084P0800X
Psychiatry Physician
Primary
ML60600742
WA

Other

Enumeration date
09/22/2006
Last updated
11/18/2015
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