Provider Demographics
NPI:1790278851
Name:BARTON, COLE (DPM)
Entity Type:Individual
Prefix:
First Name:COLE
Middle Name:
Last Name:BARTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 GOLF COURSE RD SE STE A
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1954
Mailing Address - Country:US
Mailing Address - Phone:505-896-1500
Mailing Address - Fax:505-896-1113
Practice Address - Street 1:2207 GOLF COURSE RD SE STE A
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1954
Practice Address - Country:US
Practice Address - Phone:505-896-1500
Practice Address - Fax:505-896-1113
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-12
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPOD461213E00000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist