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NPI Code Detail

MEDICARE: ERIN BAUMBACH M.D.

MEDICARE: ERIN BAUMBACH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician78334AZ

General Provider Information

NPI Number : 1063822310
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN BAUMBACH M.D.
Provider Business Mailing Address
First Line : 6678 W THUNDERBIRD RD
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3721
Country : US
Telephone Number : 916-880-0224
Fax Number : 833-973-4203
Provider Business Practice Location Address
First Line : 6678 W THUNDERBIRD RD
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3721
Country : US
Telephone Number : 916-880-0224
Fax Number : 833-973-4203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2014
Last Update Date : 03/04/2026

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