Organization
DALE V BAUMAN DR DALE V BAUMAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE VICTOR BAUMAN MD (OWNER/SOLE PROPRIETOR)
(318) 752-1502
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR, SUITE 310, BOSSIER CITY, LA 71111-2166
(318) 752-1502
Mailing address
2300 HOSPITAL DR, SUITE 310, BOSSIER CITY, LA 71111-2166
(318) 752-1502
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.04029R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2175874
—
LA
Enumeration date
03/08/2012
Last updated
03/08/2012
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