Individual
DR. DAVID GORDON BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
660 BANNOCK ST, DENVER, CO 80204-4506
(303) 602-2666
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-7142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
052827
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024621
KAISER COMMERCIAL NUMBER
CO
05
—
53238346
—
CO
Enumeration date
03/26/2011
Last updated
10/03/2014
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