Individual
DR. MATTHEW ALAN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
502 E CHEROKEE AVE, SALLISAW, OK 74955-4842
(918) 775-7100
Mailing address
PO BOX 641, SALLISAW, OK 74955-0641
(918) 775-7100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4028
OK
Other
Enumeration date
05/11/2011
Last updated
05/12/2011
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