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Loren D. Bauman, PA
Medical Physician Assistant in Modesto, California
NPI 1326155052

Loren D. Bauman is a Medical Physician Assistant based in Emeryville, CA and is specialized in Medical. Loren D. Bauman practices in Modesto, CA and has the professional credentials of PA. The NPI Number for Loren D. Bauman is 1326155052 and holds a License No. PA13310 (California).

The current practice location address for Loren D. Bauman is 1700 Coffee Rd, Modesto, CA and can be reached out via phone at 209-526-4500. You can also correspond with Loren D. Bauman through the mailing address at 2100 POWELL ST STE 920, EMERYVILLE, CA - 94608-1844 (mailing address contact number: 510-350-2600).

Location: 1700 Coffee Rd, Modesto, CA, 94608-1844
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Provider Profile Details
NPI Number
1326155052
Provider Name
Loren D. Bauman
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1700 Coffee Rd, Modesto, CA, 94608-1844
Phone Number
209-526-4500
Fax Number
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA13310 05 CA
institution
Provider Business Practice Location Address Details
Address
1700 Coffee Rd
City
State
Zip
95355-2803
Phone Number
209-526-4500
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Coffee Rd
City
State
Zip
95355-2803
Phone Number
209-526-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA13310 (California)
Definition
Definition to come...
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