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NPI Code Detail

MEDICARE: DR. TARKTEN ALEXANDER PHARR MD,RVT

MEDICARE: DR. TARKTEN ALEXANDER PHARR MD,RVT
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
1174400000XSpecialist200101263NC
2208600000XSurgery Physician200101263NC
32086S0129XVascular Surgery Physician200101263NC

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 : 1629037445
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TARKTEN ALEXANDER PHARR MD,RVT
Provider Business Mailing Address
First Line : 1177 N ROAD ST
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-3388
Country : US
Telephone Number : 252-384-2560
Fax Number : 252-384-9997
Provider Business Practice Location Address
First Line : 1177 N ROAD ST
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-3388
Country : US
Telephone Number : 252-384-2560
Fax Number : 252-384-9997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 02/05/2025

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