Provider Demographics
NPI:1174516066
Name:BARTER, JEFFREY (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:BARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:206 WEST COUNTY LINE RD
Mailing Address - Street 2:STE 110
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2319
Mailing Address - Country:US
Mailing Address - Phone:303-791-9999
Mailing Address - Fax:303-791-2778
Practice Address - Street 1:8340 S SANGRE DE CRISTO RD
Practice Address - Street 2:STE 106
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4243
Practice Address - Country:US
Practice Address - Phone:303-979-1234
Practice Address - Fax:303-979-8011
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO23166208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01231661Medicaid