Individual
MARK BARATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3455 LUTHERAN PKWY, SUITE 280, WHEAT RIDGE, CO 80033-6028
(303) 403-7300
(303) 403-7310
Mailing address
3455 LUTHERAN PKWY, SUITE 280, WHEAT RIDGE, CO 80033-6028
(303) 403-7300
(303) 403-7310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0064591
—
363A00000X
Physician Assistant
PA-3186
CO
363A00000X
Physician Assistant
Primary
PA9107209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25258231
—
CO
Enumeration date
04/24/2007
Last updated
05/20/2019
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