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1932504131
MATTHEW LEE BAUER
BONNERS FERRY, ID
NPI
1932504131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT MED-PAC-35408)
Enumeration Date
2014-10-30
Last Update Date
2021-04-21
Business Address
MATTHEW LEE BAUER PA-C
6615 COMANCHE STREET
BONNERS FERRY, ID 83805
Phone number: 208-267-1718
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Mailing Address
MATTHEW LEE BAUER PA-C
PO BOX 2160
SANDPOINT, ID 83864
Phone number: 208-267-1718
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