Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | 40207 | CA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 201794 | CO |
NPI | 1083675888 |
---|---|
Provider Name | Dr. Steven Douglas Barney |
First Address | Centennial, CO 80122 |
Second Address | Centennial, CO 80112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 27/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U75394 | (02) | CA |