Healthcare Provider Details
I. General information
NPI: 1053514984
Provider Name (Legal Business Name): DAVID SCOTT BARNKOW AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/07/2007
Last Update Date: 04/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1660 S ALBION ST SUITE 425
DENVER CO
80222-4008
US
IV. Provider business mailing address
1660 S ALBION ST SUITE 425
DENVER CO
80222-4008
US
V. Phone/Fax
- Phone: 720-214-2549
- Fax: 303-744-7876
- Phone: 720-214-2549
- Fax: 303-744-7876
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 290 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246ZE0600X |
| Taxonomy | Electroneurodiagnostic Specialist/Technologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: