Individual provider · Type 1 NPI
Clairalyn Lois Baucom, MD
General Practice Physician · Apo, AP
NPI number
1760569339
Active
Practice location
Kadena Pediatric Clinic, 18MDG / Sghq Unit 5142
Apo, AP 96367-5142
Mailing address
18MDOS, Psc 80 Box 15477
Apo, AP 96367-5142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 0101240222 (VA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1760569339
Clairalyn Lois Baucom, MD's National Provider Identifier is 1760569339, issued on Nov 1, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Apo, AP. The record was last updated on Sep 11, 2008.