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Individual

GARY W. BAUERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
938 BANNOCK ST, STE 300, DENVER, CO 80204-4028
(303) 914-8800
(303) 716-3777
Mailing address
938 BANNOCK ST, STE 300, DENVER, CO 80204
(303) 914-8800
(303) 716-3777

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
29487
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01294875
CO
Enumeration date
08/09/2006
Last updated
09/16/2008
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