MR. Thomas Logan Bauer, PA-C

NPI #1801033360 in Orem, Utah

Provider Information

NPI Number: 1801033360
Entity Type: Individual
Name: MR. Thomas Logan Bauer, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 20, 2009
Last Updated: Jun 23, 2022

Practice Location

Address: 505 W 400 N
City: Orem
State: Utah
ZIP Code: 84057
Phone: (801) 714-3450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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