Individual
DR. BORIS I BAYERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(856) 853-2168
(856) 848-2879
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0059019
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028586
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/15/2014
Last updated
05/06/2021
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