Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A164453 | CA |
N | 208200000X | Surgeon | LL52634 | SC |
N | 208600000X | Surgeon | LL52634 | SC |
NPI | 1013400472 |
---|---|
Provider Name | Virginia R Barton |
First Address | Sacramento, CA 95816-3367 |
Second Address | Sacramento, CA 95816-3367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2018 |
Last Update Date | 15/10/2019 |