Individual
NICHOLAS DARRELL BAUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1209 S FLOWER CIR APT A, LAKEWOOD, CO 80232-5281
(815) 260-4064
Mailing address
1209 S FLOWER CIR APT A, LAKEWOOD, CO 80232-5281
(815) 260-4064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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