Provider Demographics
NPI:1386649903
Name:GABLEHOUSE, BARBARA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LYNN
Last Name:GABLEHOUSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3555 LUTHERAN PKWY
Mailing Address - Street 2:STE 340
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6039
Mailing Address - Country:US
Mailing Address - Phone:303-996-6005
Mailing Address - Fax:303-421-3822
Practice Address - Street 1:3555 LUTHERAN PKWY
Practice Address - Street 2:STE 340
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6039
Practice Address - Country:US
Practice Address - Phone:303-996-6005
Practice Address - Fax:303-421-3822
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2020-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO29927208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01299270Medicaid
E71948Medicare UPIN