Healthcare Provider Details
I. General information
NPI: 1437282274
Provider Name (Legal Business Name): HOPE K. BARKHURST, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2007
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2095 N. DOLORES RD.
CORTEZ CO
81321-1687
US
IV. Provider business mailing address
2095 N. DOLORES RD. BOX 1687
CORTEZ CO
81321-1687
US
V. Phone/Fax
- Phone: 970-564-8086
- Fax: 970-564-8087
- Phone: 970-564-8086
- Fax: 970-564-8087
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DON
R.
BARKHURST
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 970-564-8086