Individual
ALLISON BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-3720
Mailing address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-6650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.MD.61181113
WA
207R00000X
Internal Medicine Physician
Primary
MD61181113
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102901
—
WA
Enumeration date
04/03/2018
Last updated
04/11/2024
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