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
Fax: (719) 247-5437
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033197231 NPPES
Colorado MEDICAID 74632043

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