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NPI Code Detail

MEDICARE: PETER F. BAKES

MEDICARE: PETER F. BAKES
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
1207P00000XEmergency Medicine Physician39391CO
2207P00000XEmergency Medicine PhysicianDR.0039391CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2930109096OTHERCORAILROAD MEDICARE

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 : 1467435172
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER F. BAKES
Provider Business Mailing Address
First Line : PO BOX 173862
Second Line :
City : DENVER
State : CO
Zip : 80217-3862
Country : US
Telephone Number : 303-306-7783
Fax Number : 303-306-7753
Provider Business Practice Location Address
First Line : 501 E HAMPDEN AVE
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-2702
Country : US
Telephone Number : 303-788-6911
Fax Number : 303-306-7753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 07/18/2015

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Directions to “ PETER F. BAKES ” Practice Location

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