Basic Information
| Provider Information | |||||||||
| NPI: | 1841560836 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHRISTINA BAMMES MD, ADULT PSYCHIATRY, A PROFESSIONAL LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1272 | ||||||||
| Address2: | |||||||||
| City: | CONIFER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804331272 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035046565 | ||||||||
| FaxNumber: | 3033211040 | ||||||||
| Practice Location | |||||||||
| Address1: | 4141 E DICKENSON PL | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802226012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035046565 | ||||||||
| FaxNumber: | 3033211040 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2012 | ||||||||
| LastUpdateDate: | 01/06/2012 | ||||||||
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| AuthorizedOfficialLastName: | BAMMES | ||||||||
| AuthorizedOfficialFirstName: | CHRISTINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3035046565 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 30892 | CO | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.