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Individual

DR. BARRY L MOLK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10103 RIDGEGATE PKWY STE 103, LONE TREE, CO 80124-5524
(303) 645-0090
(303) 645-0092
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(303) 645-0090
(303) 645-0092

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18844
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01188440
CO
05
10026280600
NE
05
10026280700
NE
05
10026280800
NE
05
10026281000
NE
05
10026281200
NE
05
10026283100
NE
05
1982948089
NE
05
201015130A
KS
Enumeration date
10/06/2005
Last updated
07/21/2022
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