Organization
GLORIA BACHELDER MD PC
Active
Other names
HOME OF THE HEALING ARTS
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA BACHELDER M.D. (PRESIDENT)
(303) 828-9200
Entity
Organization
Contact information
Practice address
636 KATTELL STREET, ERIE, CO 80516-0445
(303) 828-9200
Mailing address
PO BOX 445, 636 KATTELL STREET, ERIE, CO 80516-0445
(303) 828-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32141
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063549749
NPI INDIVIDUAL
—
01
—
C803326
GROUP PIN
CO
Enumeration date
03/04/2008
Last updated
05/06/2011
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