Most Relevant Information
Provider Data
| NPI Number: | 1003512096 |
| Provider Name: | SAMANTHA BAUMAN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA.0007768 |
Most Important Dates
| Enumeration Date: | 02/01/2023 |
| Last Updated: | 02/01/2023 |
Provider Practice Location
3623 DORSHIRE LN
TIMNATH
CO
805472243
Practice Location Phone/Fax
| Phone: | 9702152573 |
| Fax: |
Provider Mailing Location
3623 DORSHIRE LN
TIMNATH
CO
805472243
Provider Mailing Phone/Fax
| Phone: | 9702152573 |
| Fax: |