Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A124310 | CA |
NPI | 1023277860 |
---|---|
Provider Name | Dr. Daniel Barker |
First Address | Chattanooga, TN 37421-7137 |
Second Address | Chattanooga, TN 37421-7137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 02/12/2015 |