Individual
DAVID BARAHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W 2ND ST, SUITE 415, CASPER, WY 82601-2454
(307) 237-5848
(307) 237-5848
Mailing address
111 W 2ND ST, SUITE 415, CASPER, WY 82601-2454
(307) 237-5848
(307) 237-5848
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
6452A
WY
207L00000X
Anesthesiology Physician
Primary
6452A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115884800
—
WY
Enumeration date
10/10/2006
Last updated
10/20/2021
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