Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD00032810 | WA |
NPI | 1023014065 |
---|---|
Provider Name | Dr. Brent A. Barber |
First Address | Wenatchee, WA 98801-2028 |
Second Address | Wenatchee, WA 98801-3370 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 21/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
258652 | L&I (01) | WA |
315736 | L&I POST 7/21/13 (01) | WA |
8177149 | (05) | WA |