Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3840 | AZ |
N | 111NI0013X | Independent Medical Examiner | 3840 | AZ |
NPI | 1548411549 |
---|---|
Provider Name | Dr. William Edward Barron |
First Address | Phoenix, AZ 85022-2856 |
Second Address | Phoenix, AZ 85022-2856 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 08/10/2008 |