Provider Demographics
NPI:1427342476
Name:VAUDT, DANIEL LEIGH (PHARMD, BA)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LEIGH
Last Name:VAUDT
Suffix:
Gender:M
Credentials:PHARMD, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14500 W COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3203
Mailing Address - Country:US
Mailing Address - Phone:303-273-9949
Mailing Address - Fax:303-273-9949
Practice Address - Street 1:14500 W COLFAX AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3203
Practice Address - Country:US
Practice Address - Phone:303-273-9949
Practice Address - Fax:303-273-9949
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist