Healthcare Provider Details

I. General information

NPI: 1871675314
Provider Name (Legal Business Name): MICHAEL CHARLES BATEMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 HALE PKWY STE 520
DENVER CO
80220-4053
US

IV. Provider business mailing address

4700 HALE PKWY STE 520
DENVER CO
80220-4053
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-1945
  • Fax: 303-388-1979
Mailing address:
  • Phone: 303-388-1945
  • Fax: 303-388-1979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number43266
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: