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NPI Code Detail

MEDICARE: ROBERT J BARR DPM

MEDICARE:   ROBERT J BARR  DPM
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
1213E00000XPodiatrist36001947OH

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 : 1902890577
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT J BARR DPM
Provider Business Mailing Address
First Line : 840 N LAKE ST
Second Line :
City : MADISON
State : OH
Zip : 44057-2948
Country : US
Telephone Number : 440-428-7146
Fax Number : 440-428-3528
Provider Business Practice Location Address
First Line : 840 N LAKE ST
Second Line :
City : MADISON
State : OH
Zip : 44057-2948
Country : US
Telephone Number : 440-428-7146
Fax Number : 440-428-3528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 06/17/2010

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Directions to “ ROBERT J BARR DPM” Practice Location

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