Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD00042406 | WA |
NPI | 1265539944 |
---|---|
Provider Name | Craig R. Barrow |
First Address | Spokane, WA 99210-0421 |
Second Address | Spokane, WA 99208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8353765 | (05) | WA |
G61914 | (02) | WA |