Provider Demographics
NPI:1164816435
Name:BAUMGARTNER, PAUL THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:THOMAS
Last Name:BAUMGARTNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2825 FORT MISSOULA RD STE 304
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-7403
Mailing Address - Country:US
Mailing Address - Phone:406-808-6647
Mailing Address - Fax:406-909-6647
Practice Address - Street 1:2825 FORT MISSOULA RD STE 304
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7403
Practice Address - Country:US
Practice Address - Phone:406-808-6647
Practice Address - Fax:406-909-6647
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-76831207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology