Individual
DEREK CHRISTOPHER BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 213-6987
(801) 587-7111
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
(801) 587-7111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10889741-3102
UT
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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