Individual
WES BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4856 LITTLE LONDON DR, COLORADO SPRINGS, CO 80923-6293
(719) 476-0130
(719) 323-6226
Mailing address
PO BOX 62968, COLORADO SPRINGS, CO 80962-2968
(719) 476-0130
(719) 323-6226
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
04M515
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29657571
—
CO
Enumeration date
10/14/2016
Last updated
10/14/2016
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