Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | C8457 | AR |
NPI | 1013922988 |
---|---|
Provider Name | Barton David Parish |
First Address | Hot Springs, AR 71913-7951 |
Second Address | Hot Springs, AR 71913-4514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 07/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F64057 | (02) | AR |