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Individual

MR. RICHARD BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EMT-I

Contact information

Practice address
BLD 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FT RUCKER, AL 36330
(334) 255-7809
Mailing address
BLD 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FT RUCKER, AL 36330
(334) 255-7809

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
0015846
AL

Other

Enumeration date
02/01/2008
Last updated
02/01/2008
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