Provider Demographics
NPI:1447267018
Name:BARNES, STEPHEN M (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:BARNES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9397 CROWN CREST BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8575
Mailing Address - Country:US
Mailing Address - Phone:303-805-9802
Mailing Address - Fax:303-805-9008
Practice Address - Street 1:9397 CROWN CREST BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8575
Practice Address - Country:US
Practice Address - Phone:303-805-9802
Practice Address - Fax:303-805-9008
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2016-01-27
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Provider Licenses
StateLicense IDTaxonomies
CO42135208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO15851842Medicaid
CO15851842Medicaid
COC526308Medicare PIN