Individual
DR. FARON BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 POINT FOSDICK DR NW STE 102, GIG HARBOR, WA 98335-1706
(253) 853-2050
(253) 853-2711
Mailing address
4700 POINT FOSDICK DR NW STE 102, GIG HARBOR, WA 98335-1706
(253) 853-2050
(253) 853-2711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031326
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225432
STATE L&I
WA
Enumeration date
07/18/2006
Last updated
04/18/2011
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