Individual
DR. ERIC J BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-5184
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-5184
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0072830
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029575
KAISER COMMERCIAL NUMBER
CO
05
—
9000230410
—
CO
Enumeration date
03/23/2021
Last updated
06/17/2025
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