Healthcare Provider Details

I. General information

NPI: 1467446138
Provider Name (Legal Business Name): DAVID J BARTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3272 FORTUNE CT
AUBURN CA
95602-7847
US

IV. Provider business mailing address

3272 FORTUNE CT
AUBURN CA
95602-7847
US

V. Phone/Fax

Practice location:
  • Phone: 530-888-1118
  • Fax: 530-888-8832
Mailing address:
  • Phone: 530-888-1118
  • Fax: 530-888-8832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number182189-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: