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NPI Code Detail

MEDICARE: DR. BARRY WAYNE HOLCOMB JR. MD,FCCP

MEDICARE: DR. BARRY WAYNE HOLCOMB JR. MD,FCCP
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
1207RP1001XPulmonary Disease PhysicianDR.0036438CO
2207RC0200XCritical Care Medicine (Internal Medicine) Physician35273AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134107006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY WAYNE HOLCOMB JR. MD,FCCP
Provider Business Mailing Address
First Line : 95 S PAGOSA BLVD
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-8329
Country : US
Telephone Number : 970-731-3700
Fax Number : 970-731-0511
Provider Business Practice Location Address
First Line : 95 S PAGOSA BLVD
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-8329
Country : US
Telephone Number : 970-731-3700
Fax Number : 970-731-0511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2006
Last Update Date : 12/11/2024

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Directions to “ DR. BARRY WAYNE HOLCOMB JR. MD,FCCP” Practice Location

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