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Organization

GEORGE P. BAUER MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE P. BAUER MD (OWNER)
(513) 860-4771
Entity
Organization

Contact information

Practice address
2960 MACK RD, SUITE 107, FAIRFIELD, OH 45014-5373
(513) 860-4771
(513) 860-4770
Mailing address
2960 MACK RD, SUITE 107, FAIRFIELD, OH 45014-5373
(513) 860-4771
(513) 860-4770

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35064650
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0924227
OH
01
1366547531
NPI
Enumeration date
12/22/2011
Last updated
12/22/2011
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