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NPI Code Detail

MEDICARE: MR. BARTON E ANDERSON DHSC, AT, ATC

MEDICARE: MR. BARTON E ANDERSON DHSC, AT, ATC
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
12255A2300XAthletic Trainer0839AZ

General Provider Information

NPI Number : 1912991480
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BARTON E ANDERSON DHSC, AT, ATC
Provider Business Mailing Address
First Line : 5850 E STILL CIR
Second Line :
City : MESA
State : AZ
Zip : 85206-3618
Country : US
Telephone Number : 480-219-6000
Fax Number :
Provider Business Practice Location Address
First Line : 5850 E STILL CIR
Second Line :
City : MESA
State : AZ
Zip : 85206-3618
Country : US
Telephone Number : 480-219-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 05/08/2019

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