Individual
CLARICE MS BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2245 BLAKE ST APT B, DENVER, CO 80205-2053
(720) 802-0924
Mailing address
2245 BLAKE ST APT B, DENVER, CO 80205-2053
(303) 895-5455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48382
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL2552
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41258266
—
CO
Enumeration date
10/10/2008
Last updated
08/15/2023
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