Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D32217 | MD |
N | 111NI0900X | Internist | D32217 | MD |
Y | 207U00000X | Nuclear Medicine Specialist | D32217 | MD |
NPI | 1811133556 |
---|---|
Provider Name | Dr. Richard Sheldon Bakalar |
First Address | Lone Tree, CO 80124-5410 |
Second Address | Lone Tree, CO 80124-5410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2008 |
Last Update Date | 31/12/2008 |