MEDICARE: DR. BARRY H. RUMACK

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
1	208000000X	Pediatrics Physician	17145	CO

General Provider Information

NPI Number	:	1063617876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY H. RUMACK

Provider Business Mailing Address
First Line	:	33 SILVER FOX CIR
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80121-2129
Country	:	US
Telephone Number	:	303-773-3354
Fax Number	:	720-294-1281

Provider Business Practice Location Address
First Line	:	33 SILVER FOX CIR
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80121-2129
Country	:	US
Telephone Number	:	303-773-3354
Fax Number	:	720-294-1281

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	07/08/2007

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