NPI 1407029762

Jacob Howard Bauer, MD

Practitioner MOHS-Micrographic Surgery Physician Olympia, WA

Practice location

Address: 304 W Bay Dr NW STE 301, Olympia, WA 98502-4958
Phone: (360) 413-8760

Registered specialties (4)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence MD 60075013 (WA)

Other Dermatology providers in Washington →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD12612 (RI)

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence MD12612 (RI)

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD 60075013 (WA)

Registry record

NPI: 1407029762
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2008
Record last updated: 22 Oct 2013

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.