Provider Demographics
NPI:1164816435
Name:BAUMGARTNER, PAUL THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:THOMAS
Last Name:BAUMGARTNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2827 FORT MISSOULA RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-7408
Mailing Address - Country:US
Mailing Address - Phone:406-327-4237
Mailing Address - Fax:504-988-1846
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:SL-37
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5216
Practice Address - Fax:504-988-1846
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2019-07-18
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Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-76831207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology