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Individual
MARK ALLEN BARNHURST
Active
Individual
MARK ALLEN BARNHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101148
FL
363AM0700X
Medical Physician Assistant
PA9101148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000887900
—
FL
01
—
Y06HB
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/10/2006
Last updated
03/17/2018
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