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NPI Code Detail

MEDICARE: DR. RICHARD LEE BUDENSIEK D.O.

MEDICARE: DR. RICHARD LEE BUDENSIEK D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician32150CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518962448
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD LEE BUDENSIEK D.O.
Provider Business Mailing Address
First Line : 5623 WEST 19TH STREET
Second Line :
City : GREELEY
State : CO
Zip : 80634-2901
Country : US
Telephone Number : 970-353-9011
Fax Number : 970-353-9135
Provider Business Practice Location Address
First Line : 5623 WEST 19TH STREET
Second Line :
City : GREELEY
State : CO
Zip : 80634-2901
Country : US
Telephone Number : 970-353-9011
Fax Number : 970-353-9135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 01/31/2011

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