Individual
DR. JOHN MICHAEL BALDAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E. DESERT INN RD., STE100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9461
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503082
—
NV
01
—
7541165
AETNA
—
01
—
CC6656
BXBS
—
01
—
P00146571
R.R. MEDICARE
—
Enumeration date
01/04/2006
Last updated
09/13/2023
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