Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD 00039393 | WA |
NPI | 1063734556 |
---|---|
Provider Name | Dr. Gene Thomas Baumgarner |
First Address | Eugene, OR 97408-5954 |
Second Address | Eugene, OR 97408-5954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2010 |
Last Update Date | 24/02/2010 |