Doctor Name: | AMANDA ANN BARBOUR |
NPI Number: | 1063663235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNIM |
License Number: | |
Business Practice Address: | 350 Interlocken Blvd Ste. 360 Broomfield, CO - 800213477 |
Business Phone Number: | 3033391499 |
Business Fax Number: | |
Mailing Address: | 350 Interlocken Blvd, Ste. 360 BROOMFIELD |
State: | CO |
Postal Code: | 800213477 |
Phone Number: | 3033391499 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 10/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2472E0500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | EEG |
Taxonomy Definition: |