Individual
BRUCE CLINTON BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 356-6185
(208) 356-0378
Mailing address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 356-6185
(208) 356-0375
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M5390
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M5390
IDAHO LICENSE
ID
Enumeration date
11/29/2006
Last updated
04/29/2011
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