Fallon Renee Bauer, PA-C Valid NPI

Individual provider · Physician Assistant · Easton, MD

NPI

1114279049

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

C0004883 (MD)

Sex

Female

Sole proprietor

No

Enumerated

2012-10-02

Last updated

2021-08-06