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1801033360
THOMAS LOGAN BAUER
OREM, UT
NPI
1801033360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 7816522-1206)
Enumeration Date
2009-01-20
Last Update Date
2022-06-23
Business Address
Mr. THOMAS LOGAN BAUER PA-C
505 W 400 N
OREM, UT 84057
Phone number: 801-714-3450
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Mailing Address
Mr. THOMAS LOGAN BAUER PA-C
505 W 400 N
OREM, UT 84057-1950
Phone number: 801-714-3450
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