Provider Demographics
NPI:1184654337
Name:BAUMAN, MARGARET KATHRYN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:KATHRYN
Last Name:BAUMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3220 S HIGUERA ST
Mailing Address - Street 2:STE 306
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-6987
Mailing Address - Country:US
Mailing Address - Phone:805-540-7060
Mailing Address - Fax:805-466-2322
Practice Address - Street 1:3220 S HIGUERA ST
Practice Address - Street 2:STE 306
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-6987
Practice Address - Country:US
Practice Address - Phone:805-540-7060
Practice Address - Fax:805-466-2322
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist