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Individual

DR. BARRY RICHARD SUNDLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1421 S POTOMAC ST, SUITE 320, AURORA, CO 80012-4535
(303) 750-1920
(303) 750-0483
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(303) 763-4900
(303) 763-5495

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26440
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01264407
CO
01
840770897
TAX ID
CO
Enumeration date
11/29/2006
Last updated
11/18/2024
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