Individual
DR. SHELLY DAWN BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1760 E KEN PRATT BLVD STE 205, LONGMONT, CO 80504-5311
(720) 718-3930
(720) 718-0939
Mailing address
1760 E KEN PRATT BLVD STE 205, LONGMONT, CO 80504-5311
(720) 718-3930
(720) 718-0939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0069040
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/11/2017
Last updated
06/21/2022
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