Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | R76064 | AZ |
NPI | 1073700969 |
---|---|
Provider Name | Samuel Ralph Barber |
First Address | Tucson, AZ 85724-0001 |
Second Address | Tucson, AZ 85719-4330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2007 |
Last Update Date | 21/01/2021 |