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NPI Code Detail

MEDICARE: ARTHUR S WALDBAUM MD PC

MEDICARE: ARTHUR S WALDBAUM MD PC
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
1207VG0400XGynecology Physician19509CO

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 : 1265491757
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTHUR S WALDBAUM MD PC
Provider Business Mailing Address
First Line : 1201 E 17TH AVE
Second Line : SUITE 200
City : DENVER
State : CO
Zip : 80218-1574
Country : US
Telephone Number : 303-298-0222
Fax Number : 303-298-1023
Provider Business Practice Location Address
First Line : 1201 E 17TH AVE
Second Line : SUITE 200
City : DENVER
State : CO
Zip : 80218-1574
Country : US
Telephone Number : 303-298-0222
Fax Number : 303-298-1023
Authorized Official
Title or Position : OWNER
Name : DR. ARTHUR STUART WALDBAUM
Credential : MD
Telephone Number : 303-298-0222
Provider Enumeration Date : 03/22/2006
Last Update Date : 08/09/2010

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