NPI 1629210372 · live from the CMS NPI Registry
Sidney Lincoln Baucom, M.D.
Orthopaedic Surgery, Hand Surgery in Salt Lake City, UT. National Provider Identifier 1629210372, active.
NPI record
| NPI | 1629210372 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Hand Surgery 207XS0106X |
| Practice location | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 |
| Practice phone | 801-314-5025 |
| Enumerated | March 26, 2009 |
| Last updated | August 18, 2015 |
| Sole proprietor | No |
| Other names | Sid Baucom |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Hand Surgery primary | 207XS0106X | 9434735-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.