Individual
DR. BARBARA JEAN DIVISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2828 INTERNATIONAL CIR, STE 140, COLORADO SPRINGS, CO 80910-3127
(719) 632-5700
(719) 344-7817
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
(719) 344-7837
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01048913A
IN
208000000X
Pediatrics Physician
Primary
DR.0047535
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200283660A
—
IN
05
—
41756754
—
CO
Enumeration date
06/22/2006
Last updated
04/03/2017
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