Provider Information

Last Updated : Nov 22 2024 3:48 PM

Stephanie J Bauer




City
Clovis
Group
LASALLE MEDICAL ASSOCIATES - MADERA
Specialty
Emergency Medicine
Last Name
Bauer
First Name
Stephanie
Middle Name
J
Address
2755 Herndon Ave
State
CA
Zip Code
93611
Phone
(559)324-4040
Hours
Sun - Sat 12:00 AM - 11:59 PM
Gender
F
Title
D.O.
Physician ID
251334
Extender 1 Last Name
Pratt
Extender 1 First Name
Kara
Extender 1 Middle Name
R
Extender 1 License Type
P.A.
Extender 2 Last Name
Conte
Extender 2 First Name
Stephanie
Extender 2 Middle Name
L
Extender 2 License Type
P.A.
Section Number
4
County
FRESNO
Accepting New Patient
Yes
PPG NAME
LASALLE MEDICAL ASSOCIATES
PPG ID
MMA30
NPI Number
1770872574
Access Requirement
Limited
PARKING_IND
P
License ID
20A12605
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available only through a hospital or facility
PHY CCT IND
N

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