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NPI Code Detail

MEDICARE: DAVID H BARE

MEDICARE: DAVID H BARE
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 PhysicianMD00016557WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396703377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID H BARE
Provider Business Mailing Address
First Line : 203 N WASHINGTON ST
Second Line : STE 300
City : SPOKANE
State : WA
Zip : 99201-0233
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 3919 N MAPLE ST
Second Line :
City : SPOKANE
State : WA
Zip : 99205-1349
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 12/30/2015

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Directions to “ DAVID H BARE ” Practice Location

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