Individual
RODNEY W BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3050 HIGHWAY 69, SUITE A, PRESCOTT, AZ 86301
(928) 445-6755
Mailing address
3050 HIGHWAY 69, SUITE A, PRESCOTT, AZ 86301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
014
AZ
Other
Enumeration date
09/10/2007
Last updated
06/19/2009
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