Healthcare Provider Details

I. General information

NPI: 1063452506
Provider Name (Legal Business Name): BARTON R. PASCHAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 10/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HOSPITAL DR SUITE 10B
CLYDE NC
28721-8024
US

IV. Provider business mailing address

PO BOX 1869
FLETCHER NC
28732-1869
US

V. Phone/Fax

Practice location:
  • Phone: 828-456-5214
  • Fax: 828-456-7834
Mailing address:
  • Phone: 828-687-5616
  • Fax: 828-650-8076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number24483
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: