Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD00016468 | WA |
N | 208600000X | Surgeon | MD00016468 | WA |
N | 2082S0105X | Plastic Hand Surgeon | MD00016468 | WA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD00016468 | WA |
NPI | 1841347572 |
---|---|
Provider Name | Dr. David Teter Barker |
First Address | Seattle, WA 98104-1172 |
Second Address | Renton, WA 98055-6230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 02/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1359207 | (05) | WA |
15953 | L&I (01) | |
A04031 | (02) |