Individual
DR. THOMAS ANDERSON BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 SOUTH BUCKEYE AVENUE, STAFFORD, KS 67578
(620) 234-6073
(620) 234-6085
Mailing address
602 SOUTH BUCKEYE AVENUE, STAFFORD, KS 67578
(620) 234-6073
(620) 234-6085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-13935
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081810 A
—
KS
05
—
100081810A
—
KS
Enumeration date
01/13/2006
Last updated
03/18/2009
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