Doctor Name: | MR. DWIGHT MELVIN BARHITE |
NPI Number: | 1780705103 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 530 K St Penrose, CO - 812409725 |
Business Phone Number: | 7193723097 |
Business Fax Number: | |
Mailing Address: | 530 K St, P.o. Box 697 PENROSE |
State: | CO |
Postal Code: | 812409725 |
Phone Number: | 7193723097 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RH0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Histology |
Taxonomy Definition: |