Individual
DR. DIOGO TAVARES BAULETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40501
CO
208M00000X
Hospitalist Physician
Primary
DR.0040501
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028985
KAISER COMMERCIAL NUMBER
CO
05
—
82135797
—
CO
Enumeration date
02/02/2006
Last updated
05/11/2021
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