Provider Demographics
NPI:1003495961
Name:BAUMAN, JAMES ROBERT IV (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:BAUMAN
Suffix:IV
Gender:M
Credentials:DO
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Mailing Address - Street 1:250 HOSPITAL PL
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-6999
Mailing Address - Country:US
Mailing Address - Phone:907-714-4404
Mailing Address - Fax:
Practice Address - Street 1:506 LAKE ST
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-6937
Practice Address - Country:US
Practice Address - Phone:907-714-4111
Practice Address - Fax:844-412-3852
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2024-09-30
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Provider Licenses
StateLicense IDTaxonomies
AK220711207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine