Healthcare Provider Details

I. General information

NPI: 1538663950
Provider Name (Legal Business Name): BETH BUEHRER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 11/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 ORCHARD PKWY FL 1
WESTMINSTER CO
80023-9206
US

IV. Provider business mailing address

420 E 102ND ST APT 13C
NEW YORK NY
10029-5865
US

V. Phone/Fax

Practice location:
  • Phone: 303-430-5560
  • Fax:
Mailing address:
  • Phone: 319-464-6936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0062948
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: