Individual
RICK RALPH BAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2625 COFFEE RD, STE S, MODESTO, CA 95355-2050
(209) 577-1200
(209) 577-6517
Mailing address
2625 COFFEE RD, STE S, MODESTO, CA 95355-2050
(209) 577-1200
(209) 577-6517
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G37943
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G37943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220005799
RAILROAD MEDICARE
CA
01
—
G37943
LICENSE
CA
Enumeration date
06/22/2005
Last updated
04/18/2008
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