Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 012022 | MO |
NPI | 1447475769 |
---|---|
Provider Name | Dr. Bruce F Barker |
First Address | Kansas City, MO 64108-2716 |
Second Address | Kansas City, MO 64108-2716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 08/07/2007 |