Individual
DR. PAUL EDWARD BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3920 N UNION BLVD, COLORADO SPRINGS, CO 80907-4900
(719) 268-3316
(719) 266-0466
Mailing address
17450 HOPPER RD, PEYTON, CO 80831-9533
(719) 749-2625
(719) 749-9393
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
33233
CO
2085R0202X
Diagnostic Radiology Physician
Primary
33233
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43222889
—
CO
Enumeration date
05/17/2006
Last updated
05/02/2011
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