Individual
MARION E BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
226 LUSHER COURT, STE 104, FRISCO, CO 80443-7600
(303) 338-4545
Mailing address
226 LUSHER COURT, STE 104, FRISCO, CO 80443-7600
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
522
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027122
KAISER COMMERCIAL NUMBER
CO
05
—
07052202
—
CO
Enumeration date
10/18/2006
Last updated
08/19/2016
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