Healthcare Provider Details

I. General information

NPI: 1770552267
Provider Name (Legal Business Name): WILLIAM JASON BARNHART M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 06/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 DOLORES RIVER DR
WINDSOR CO
80550-3358
US

IV. Provider business mailing address

1721 DOLORES RIVER DR
WINDSOR CO
80550-3358
US

V. Phone/Fax

Practice location:
  • Phone: 970-371-1143
  • Fax:
Mailing address:
  • Phone: 970-371-1143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number41648
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: