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NPI Code Detail

MEDICARE: BRUCE GLEN BAINTON MD

MEDICARE: BRUCE GLEN BAINTON MD
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
1207L00000XAnesthesiology PhysicianA49882CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891748372
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE GLEN BAINTON MD
Provider Business Mailing Address
First Line : PO BOX 7793
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94120-7793
Country : US
Telephone Number : 925-951-1366
Fax Number : 925-951-1385
Provider Business Practice Location Address
First Line : 1783 EL CAMINO REAL
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-3205
Country : US
Telephone Number : 650-696-5400
Fax Number : 650-696-5208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 07/08/2007

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Directions to “ BRUCE GLEN BAINTON MD” Practice Location

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