Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD469566 | PA |
NPI | 1033538061 |
---|---|
Provider Name | Dr. Blair Michael Barton |
First Address | New Orleans, LA 70121-2429 |
Second Address | Philadelphia, PA 19107-4204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2014 |
Last Update Date | 13/10/2021 |