Provider Demographics
NPI:1831917178
Name:OLDOCHARKER
Entity type:Organization
Organization Name:OLDOCHARKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:HARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-748-5781
Mailing Address - Street 1:754 APPLE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:CO
Mailing Address - Zip Code:80540-9030
Mailing Address - Country:US
Mailing Address - Phone:303-748-5781
Mailing Address - Fax:
Practice Address - Street 1:754 APPLE VALLEY RD
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:CO
Practice Address - Zip Code:80540-9030
Practice Address - Country:US
Practice Address - Phone:303-748-5781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty