Ian Sebastian Bach M.D.

NPI 1003895293 - Family Medicine - 207Q00000X

NPI Details
NPI 1003895293
Gender Male
Enumeration Date 01/16/2006
Last Updated 12/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
12169 SHERIDAN BLVD
BROOMFIELD CO, 80020-2459, US
Phone (303) 603-9400
Fax (303) 603-9420
Business Location
500 ELDORADO BLVD STE 6250
BROOMFIELD CO, 80021-3421, US
Phone (303) 272-0768
Fax (303) 318-2488
Toxanomy
Taxonomy Code 207Q00000X
License State Colorado
License Number 35490
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According to our database, Ian Sebastian Bach M.D. NPI is 1003895293, taxonomy code is 207Q00000X and license number is 35490, license state is located at Colorado. Ian Sebastian Bach M.D. physically located at 12169 Sheridan Blvd, Broomfield CO, 80020-2459. NPI Number Ian Sebastian Bach M.D. has the Individual type.

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1003895293 NPI number is provided on an as is basis without warranty of any kind. 1003895293 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Sebastian Bach M.D. are for informational purposes only.