Individual
DR. MARK JOSEPH BARBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3408
(859) 301-5900
(859) 301-5940
Mailing address
PO BOX 635283, ST. ELIZABETH PHYSICIANS, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23911
KY
2084P0800X
Psychiatry Physician
35053462
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0668086
—
OH
05
—
200939960
—
IN
05
—
7100059720
—
KY
Enumeration date
11/08/2005
Last updated
11/27/2012
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