Healthcare Provider Details

I. General information

NPI: 1356725097
Provider Name (Legal Business Name): JOHN BAPTIES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 07/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E CHERRY CREEK SOUTH DR STE 940
DENVER CO
80246-1535
US

IV. Provider business mailing address

4500 E CHERRY CREEK SOUTH DR STE 940
DENVER CO
80246-1535
US

V. Phone/Fax

Practice location:
  • Phone: 303-322-7108
  • Fax: 303-322-9989
Mailing address:
  • Phone: 303-322-7108
  • Fax: 303-322-9989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: