Individual
BONNIE B BASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1235 LAKE PLAZA DR STE 218, COLORADO SPRINGS, CO 80906-3556
(719) 867-7800
(719) 867-7899
Mailing address
PO BOX 9190, COLORADO SPRINGS, CO 80932-0190
(719) 867-7800
(719) 867-7899
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
19795
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01197953
—
CO
Enumeration date
08/23/2006
Last updated
06/16/2018
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