Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD60476271 | WA |
NPI | 1184848814 |
---|---|
Provider Name | Bryce Justin Barker |
First Address | Spokane, WA 99220-3649 |
Second Address | Spokane, WA 99202-1334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 21/07/2014 |