Provider Demographics
NPI:1164515847
Name:BARLOCO, SEVERN G (MD)
Entity Type:Individual
Prefix:DR
First Name:SEVERN
Middle Name:G
Last Name:BARLOCO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14300 ORCHARD PKWY
Mailing Address - Street 2:SUITE 430
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9206
Mailing Address - Country:US
Mailing Address - Phone:303-430-3900
Mailing Address - Fax:303-430-3910
Practice Address - Street 1:14300 ORCHARD PKWY
Practice Address - Street 2:SUITE 430
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80023-9206
Practice Address - Country:US
Practice Address - Phone:303-430-3900
Practice Address - Fax:303-430-3910
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2017-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR49184208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03852521Medicaid
CO8F7604OtherMEDICARE PTAN