Individual
BRETT BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5251
Mailing address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5251
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10416935-1204
UT
207P00000X
Emergency Medicine Physician
5101021291
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021291
MI
Other
Enumeration date
06/12/2014
Last updated
12/28/2019
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