Doctor Name: | DR. PAUL BARKER |
NPI Number: | 1285083667 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | |
Business Practice Address: | 301 Fisher St Room 5a-127 Keesler Afb, MS - 395342508 |
Business Phone Number: | 2283765571 |
Business Fax Number: | |
Mailing Address: | 301 Fisher St, Room 5a-127 KEESLER AFB |
State: | MS |
Postal Code: | 395342508 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/07/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |