Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH 1581 | FL |
NPI | 1962525568 |
---|---|
Provider Name | Dr. Dale Arthur Barnes |
First Address | The Villages, FL 32162-3379 |
Second Address | The Villages, FL 32162-3379 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 08/07/2007 |