Individual
KRISTINA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2155 E CONFERENCE DR, SUITE 115, TEMPE, AZ 85284-2604
(480) 831-2445
(480) 897-1283
Mailing address
2155 E CONFERENCE DR, SUITE 115, TEMPE, AZ 85284-2604
(480) 831-2445
(480) 897-1283
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4986
AZ
Other
Enumeration date
09/16/2011
Last updated
03/19/2014
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