Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 3866 | AZ |
N | 207ND0101X | MOHS-Micrographic Surgeon | 3866 | AZ |
NPI | 1457312027 |
---|---|
Provider Name | Dr. Jason Arthur Barr |
First Address | Scottsdale, AZ 85255-4153 |
Second Address | Scottsdale, AZ 85255-4153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 08/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
403814 | (05) | AZ |
74-3037351 | TAX ID (01) | AZ |
Z78378 | (02) | AZ |