Gardner, Barry Lee
Gardner, Barry Lee is an individual health care provider with primary practice located at 1644 Medical Center Pt Suite 100, Colorado Springs CO 80907-5760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Gardner, Barry Lee can be contacted via phone (719) 247-5500.Contact Information
Primary practice address
1644 Medical Center Pt Suite 100
Colorado Springs CO 80907-5760
Phone: (719) 247-5500
Fax: (719) 247-5437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 44618 | Colorado |
Profile Details
| NPI number | 1033197231 |
|---|---|
| LBN Legal business name | Gardner, Barry Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Nov 16th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033197231 | NPPES |
| Colorado | MEDICAID | 74632043 |
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