Individual
DR. PERRY BERNARD BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12620 OLD PUEBLO RD, FOUNTAIN, CO 80817-3717
(719) 382-6667
(719) 546-4770
Mailing address
12620 OLD PUEBLO RD, FOUNTAIN, CO 80817-3717
(719) 382-6667
(719) 546-4770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29542
CO
2084P0804X
Child & Adolescent Psychiatry Physician
29542
CO
Other
Enumeration date
01/13/2006
Last updated
09/11/2025
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