Individual
JAYNE M BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6260 S DAYTON ST, ENGLEWOOD, CO 80111-5203
(303) 779-8988
Mailing address
6808 S ROSLYN CIR, CENTENNIAL, CO 80112-1219
(303) 741-3503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
84894
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009330
KAISER-COMMERCIAL NUMBER
—
Enumeration date
04/19/2007
Last updated
07/08/2007
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