Individual
DANIEL W BAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2020 N ACADEMY BLVD, SUITE 155, COLORADO SPRINGS, CO 80909-1567
(719) 219-2350
(719) 219-0916
Mailing address
EVANS 1650 COCHRANE CIRCLE, PAIN CLINIC, FORT CARSON, CO 80913
(719) 526-5033
(719) 526-7377
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40524
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
CO-DR-40524
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30158818
—
CO
01
—
BAB66248
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/25/2006
Last updated
04/08/2021
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