Doctor Name: | ORLANDO GARLAND BARE |
NPI Number: | 1548483787 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 11974 |
Business Practice Address: | 3710 Cooper Pl Lincoln, NE - 685064631 |
Business Phone Number: | 4024886860 |
Business Fax Number: | |
Mailing Address: | 3710 Cooper Pl, LINCOLN |
State: | NE |
Postal Code: | 685064631 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11974 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |