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NPI Code Detail

MEDICARE: DR. BARRY MIGICOVSKY M.D.

MEDICARE: DR. BARRY MIGICOVSKY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician0073276CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316948797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY MIGICOVSKY M.D.
Provider Business Mailing Address
First Line : 2750 BROADWAY ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-3586
Country : US
Telephone Number : 303-440-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2750 BROADWAY ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-3586
Country : US
Telephone Number : 303-440-3216
Fax Number : 303-440-3209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 08/29/2025

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