Provider Demographics
NPI:1245319573
Name:BARNHART, CHARLES CLIFTON JR (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:CLIFTON
Last Name:BARNHART
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:710 N TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-2244
Mailing Address - Country:US
Mailing Address - Phone:970-641-0229
Mailing Address - Fax:970-641-2949
Practice Address - Street 1:710 N TAYLOR ST
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2244
Practice Address - Country:US
Practice Address - Phone:970-641-0229
Practice Address - Fax:970-641-2949
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE49692084P0800X
CO362942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry