Individual
MR. DAVID RICHARD BAKULSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9808 W CEDAR AVE, LAKEWOOD, CO 80226-1023
(303) 425-0300
Mailing address
7468 E PRINCETON AVE, DENVER, CO 80237-2300
(303) 861-0158
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312157700
HEALTHCARE PROVIDERS SERVICE ORGANIZATION
CO
Enumeration date
08/28/2009
Last updated
06/01/2011
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