Provider Demographics
NPI:1053334961
Name:QUISSELL, BARBARA J (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:QUISSELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1601 E 19TH AVE
Mailing Address - Street 2:SUITE 5300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1216
Mailing Address - Country:US
Mailing Address - Phone:303-839-7440
Mailing Address - Fax:303-839-7210
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 5300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-839-7440
Practice Address - Fax:303-839-7210
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO220862080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1220862Medicaid
CO1220862Medicaid