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Contact Information

MARC A BAUDER, MD
1000 WILLOW CREEK RD
SUITE G
PRESCOTT, AZ86301-1645
 Phone: 928-458-7343
 Fax: 928-257-4422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARC A BAUDER · (Male)

NPI Number 1457314601
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 03/13/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 15235
  • AZ Medicaid 249872
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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