MEDICARE: ARLIS DALE BARTON MD

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
1	207Q00000X	Family Medicine Physician	C-5755	AR

Other Identifiers

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

General Provider Information

NPI Number	:	1528024866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLIS DALE BARTON MD

Provider Business Mailing Address
First Line	:	8970 MARKET ST
Second Line	:
City	:	DOVER
State	:	AR
Zip	:	72837-9110
Country	:	US
Telephone Number	:	479-331-3880
Fax Number	:	479-331-3788

Provider Business Practice Location Address
First Line	:	8970 MARKET ST
Second Line	:
City	:	DOVER
State	:	AR
Zip	:	72837-9110
Country	:	US
Telephone Number	:	479-331-3880
Fax Number	:	479-331-3788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	02/18/2015

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