Provider Demographics
NPI:1992782874
Name:SANDLER, BARRY IRA (DO)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:IRA
Last Name:SANDLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:BARRY
Other - Middle Name:I
Other - Last Name:SANDLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:439 EDWARDS ACCESS RD # B204
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632-5634
Mailing Address - Country:US
Mailing Address - Phone:303-909-3884
Mailing Address - Fax:970-470-6510
Practice Address - Street 1:439 EDWARDS ACCESS RD # B204
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-5634
Practice Address - Country:US
Practice Address - Phone:970-445-2489
Practice Address - Fax:970-470-6510
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0037523207P00000X
CO37523207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO49457080Medicaid
COG39948Medicare UPIN
CO49457080Medicaid