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NPI Code Detail

MEDICARE: MARK F BARRETT M.D.

MEDICARE: MARK F BARRETT M.D.
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
1208000000XPediatrics PhysicianA74404CA
2208M00000XHospitalist PhysicianA74404CA

General Provider Information

NPI Number : 1538136692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK F BARRETT M.D.
Provider Business Mailing Address
First Line : 9300 VALLEY CHILDRENS PL
Second Line :
City : MADERA
State : CA
Zip : 93638-8761
Country : US
Telephone Number : 559-353-5068
Fax Number : 559-353-5708
Provider Business Practice Location Address
First Line : 9300 VALLEY CHILDRENS PL
Second Line :
City : MADERA
State : CA
Zip : 93638-8761
Country : US
Telephone Number : 559-353-5068
Fax Number : 559-353-5708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 10/19/2010

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