Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 24220 | NC |
NPI | 1053343079 |
---|---|
Provider Name | Dr. David B Barker |
First Address | Shelby, NC 28150-3565 |
Second Address | Shelby, NC 28150-3565 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 21/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C81218 | (02) |