Individual
JEFFREY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3420 S MERCY RD, SUITE 200, GILBERT, AZ 85297
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, SUITE 310, PHOENIX, AZ 85023
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
6580
AZ
Other
Enumeration date
11/01/2016
Last updated
09/05/2017
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