Individual provider · NPI-1

Ian Sebastian Bach, MD

Family Medicine · Parker, CO

NPI number1003895293
StatusActive
Last updated in NPPESJan 12, 2023

Details

NPI
1003895293
Entity type
Individual (NPI-1)
Name
Ian Sebastian Bach
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 16, 2006
Certification date
Jan 12, 2023
Last updated
Jan 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35490COYes

Practice location

19964 Hilltop Rd Ste A
Parker, CO 80134-7316

Phone 303-841-2212 · Fax 303-841-4716

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Phone 970-624-4123 · Fax 970-624-2416

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