Individual
MR. WILLIAM LUDWIG BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AT., ATC
Contact information
Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(417) 836-5000
Mailing address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0027
(417) 836-5000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012023486
MO
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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