Individual provider · NPI-1

Karl M. Baumgartner, MD

Pediatrics · Mesa, AZ

NPI number1174522890
StatusActive
Last updated in NPPESJan 15, 2018

Details

NPI
1174522890
Entity type
Individual (NPI-1)
Name
Karl M. Baumgartner
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2005
Last updated
Jan 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics22020AZYes
2080A0000X Pediatrics, Adolescent Medicine22020AZ

Practice location

5131 E Southern Ave
Mesa, AZ 85206-2799

Phone 480-833-5437 · Fax 480-833-9349

Mailing address

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018-2327

Phone 602-933-1813

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