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NPI Code Detail

MEDICARE: DR. JAMES ORSON BARLOW M.D.

MEDICARE:  DR. JAMES ORSON BARLOW  M.D.
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
1207N00000XDermatology Physician29708AZ
2207ND0101XMOHS-Micrographic Surgery Physician29708AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8P00322854OTHERAZMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0447670OTHERAZBLUE CROSS BLUE SHIELD
2998007000014OTHERAZMEDISUN
3188961600OTHERAZDEPT OF LABOR WORK COMP
41982683405OTHERAZAHCCS
57436767OTHERAZAETNA
6229874OTHERAZHEALTHNET
72540678OTHERAZUNITED HEALTHCARE

General Provider Information

NPI Number : 1982683405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES ORSON BARLOW M.D.
Provider Business Mailing Address
First Line : 14800 W MOUNTAIN VIEW BLVD STE 160
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-2700
Country : US
Telephone Number : 623-584-3376
Fax Number : 623-584-3375
Provider Business Practice Location Address
First Line : 14800 W MOUNTAIN VIEW BLVD STE 160
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-2700
Country : US
Telephone Number : 623-584-3376
Fax Number : 623-584-3375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 08/30/2013

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Directions to “ DR. JAMES ORSON BARLOW M.D.” Practice Location

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