Individual
DR. NICHOLAS ADAM BAUMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
007292
AZ
207L00000X
Anesthesiology Physician
0102202710
VA
207L00000X
Anesthesiology Physician
58.002296
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659542660
—
VA
Enumeration date
03/18/2008
Last updated
12/16/2019
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