Whalio Doctors

NPI 1083770887

Douglas Dan Bauldry

Practitioner Child Mental Illness Respite Care Casa Grande, AZ

Practice location

Address
1327 E 10th Pl, Casa Grande, AZ 85222-3677
Phone
(520) 876-5700

Registered specialties

Child Mental Illness Respite Care Primary
Respite Care Facility Taxonomy 385HR2055X Licence 10761 (AZ)

Registry record

NPI
1083770887
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Dec 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.