Individual
SAMUEL BAWCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4259 23RD AVE W, STE 200, SEATTLE, WA 98199-1534
(206) 686-4878
Mailing address
510 BRYN MAWR DR SE, ALBUQUERQUE, NM 87106-2302
(505) 710-8418
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
26031
NM
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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