MEDICARE: WILLIAM C BAUER MD LTD

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
1	2084P0800X	Psychiatry Physician	MD6614	NV

General Provider Information

NPI Number	:	1033392956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM C BAUER MD LTD

Provider Business Mailing Address
First Line	:	PO BOX 91075
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89009-1075
Country	:	US
Telephone Number	:	702-685-0674
Fax Number	:	702-566-4575

Provider Business Practice Location Address
First Line	:	6000 W ROCHELLE AVE
Second Line	:	SUITE 600
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3376
Country	:	US
Telephone Number	:	702-685-0674
Fax Number	:	702-566-4575

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM C BAUER
Credential	:	MD
Telephone Number	:	702-253-1173

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	04/11/2008

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