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NPI Code Detail

MEDICARE: MARK BARBER DO

MEDICARE:   MARK  BARBER  DO
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
1207Q00000XFamily Medicine Physician0522851KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1053716OTHERKSBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31265498018OTHERKS053716
4641410OTHERKSFIRST GUARD

General Provider Information

NPI Number : 1265498018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK BARBER DO
Provider Business Mailing Address
First Line : 1105 SUNSET AVE
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-3739
Country : US
Telephone Number : 785-532-6544
Fax Number :
Provider Business Practice Location Address
First Line : 1701 E 23RD AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1105
Country : US
Telephone Number : 620-665-2587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 09/19/2013

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Directions to “ MARK BARBER DO” Practice Location

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