Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 38445 | CO |
NPI | 1013919117 |
---|---|
Provider Name | John R Barker |
First Address | Lone Tree, CO 80124-5525 |
Second Address | Lone Tree, CO 80124-5520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 27/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17726816 | (05) | CO |
660224 | BCBS (01) | CO |
H27404 | (02) | CO |