Healthcare Provider Details

I. General information

NPI: 1467575803
Provider Name (Legal Business Name): BARBARA ANN PHILLIPS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA ANN SUTTON M.D.

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 02/18/2024
Certification Date: 02/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

367 FAAS RANCH RD
NEW CASTLE CO
81647-8423
US

IV. Provider business mailing address

PO BOX 843
NEW CASTLE CO
81647-0843
US

V. Phone/Fax

Practice location:
  • Phone: 719-371-8001
  • Fax:
Mailing address:
  • Phone: 719-371-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number22749
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: