Provider Demographics
NPI:1427334366
Name:BAUER, MAUREEN EGAN (MD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:EGAN
Last Name:BAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3490 E VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3527
Mailing Address - Country:US
Mailing Address - Phone:847-624-3114
Mailing Address - Fax:
Practice Address - Street 1:13123 EAST 16TH AVENUE CHILDREN'S HOSPITAL OF COLORADO
Practice Address - Street 2:ALLERGY AND IMMUNOLOGY DIVISION
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:720-777-0619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0056512207K00000X
NY263169208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics