Healthcare Provider Details

I. General information

NPI: 1750372728
Provider Name (Legal Business Name): DAVID JOHN BARNETTE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 05/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6649 CURLEW TERRACE
CARLSBAD CA
92011-3965
US

IV. Provider business mailing address

PO BOX 99669
SAN DIEGO CA
92169-1669
US

V. Phone/Fax

Practice location:
  • Phone: 858-539-7300
  • Fax: 858-539-7305
Mailing address:
  • Phone: 858-539-7300
  • Fax: 858-539-7305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberG58533
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: