Provider Demographics
NPI:1932382207
Name:RICHARD A BARBER DO PC
Entity Type:Organization
Organization Name:RICHARD A BARBER DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:DO PC
Authorized Official - Phone:303-344-9043
Mailing Address - Street 1:6795 E TENNESSEE AVE STE 310
Mailing Address - Street 2:SUITE 310
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1654
Mailing Address - Country:US
Mailing Address - Phone:303-388-8430
Mailing Address - Fax:303-333-4229
Practice Address - Street 1:6795 E. TENNESSEE AVE
Practice Address - Street 2:310
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224
Practice Address - Country:US
Practice Address - Phone:303-388-8430
Practice Address - Fax:303-333-4229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC1502Medicare PIN