Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 88 | AZ |
N | 222Z00000X | Podiatrist | 88 | AZ |
N | 213ES0131X | Foot Surgery | 88 | AZ |
NPI | 1326042938 |
---|---|
Provider Name | Dr. Barry Robert Kaplan |
First Address | Phoenix, AZ 85021-8578 |
Second Address | Phoenix, AZ 85021-8578 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T41800 | (02) | AZ |