Provider Demographics
| NPI: | 1356389993 |
|---|---|
| Name: | STRICKLAND, DARWIN JAN (DO) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | DARWIN |
| Middle Name: | JAN |
| Last Name: | STRICKLAND |
| Suffix: | |
| Gender: | M |
| Credentials: | DO |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 9669 NO HURON ST |
| Mailing Address - Street 2: | SUITE 202 |
| Mailing Address - City: | DENVER |
| Mailing Address - State: | CO |
| Mailing Address - Zip Code: | 80260-5669 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 303-428-7509 |
| Mailing Address - Fax: | 303-429-0032 |
| Practice Address - Street 1: | 9669 NO HURON ST |
| Practice Address - Street 2: | SUITE 202 |
| Practice Address - City: | DENVER |
| Practice Address - State: | CO |
| Practice Address - Zip Code: | 80260-5669 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 303-428-7509 |
| Practice Address - Fax: | 303-429-0032 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-06-04 |
| Last Update Date: | 2008-04-24 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CO | 15236 | 207Q00000X |
| CO | 15263 | 207QG0300X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| No | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| CO | 01152636 | Medicaid | |
| CO | CJ7018 | Medicare PIN | |
| CO | 01152636 | Medicaid |