Louis W Bair Jr., D.O.
Individual provider Active NPI Family Medicine Physician · Clifton, CO
NPI 1073556510 · NPPES record last updated Dec 13, 2007
Key facts
- NPI
- 1073556510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 31821 (CO)
- Practice address
- 573 32 Rd
Clifton, CO 81520-7624 - Phone
- (970) 434-8570
- Fax
- (970) 434-9655
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31821 | CO | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31821 | CO | Yes |
Addresses
Primary practice location
573 32 Rd
Clifton, CO 81520-7624
Mailing address
573 32 Rd
Clifton, CO 81520-7624
Phone (970) 434-8570
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01318211 | Medicaid | CO |
Other providers in Clifton, CO
- Advanced Vision Care, P.C.
- Angkor Wat East Assisted Living I
- Stacia C Baker
- Balanced Rock Sports and Orthopaedics
- Blossom View Incorporated
- Clifton Fire Protection District
- Clifton Fire Protection District
All providers in Clifton, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.