Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 160 | AK |
NPI | 1326199266 |
---|---|
Provider Name | Dr. Edward John Barrington |
First Address | Anchorage, AK 99507-5932 |
Second Address | Anchorage, AK 99503-7409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T66987 | (02) |