Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 4674 | AZ |
NPI | 1033175427 |
---|---|
Provider Name | Dr. Ronald W Barnet |
First Address | Phoenix, AZ 85016-4701 |
Second Address | Phoenix, AZ 85016-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E39500 | (02) | AZ |