Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 29292 | OK |
NPI | 1033479761 |
---|---|
Provider Name | John Barghols |
First Address | Oklahoma City, OK 73109-3447 |
Second Address | Oklahoma City, OK 73109-3447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2012 |
Last Update Date | 13/07/2016 |