Provider Demographics
NPI:1962082933
Name:BUHR, BAILEY ROSE
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:ROSE
Last Name:BUHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 N URSULA ST UNIT 425
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7412
Mailing Address - Country:US
Mailing Address - Phone:171-993-7148
Mailing Address - Fax:
Practice Address - Street 1:2100 N URSULA ST UNIT 425
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7412
Practice Address - Country:US
Practice Address - Phone:171-993-7148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0007416363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty