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Individual

ANTONIO P BARBA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 S CLIFTON AVE, STE. 450, WICHITA, KS 67218-2900
(316) 691-2301
(316) 691-2306
Mailing address
PO BOX 781866, WICHITA, KS 67278-1866
(316) 691-2301

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0416566
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0416566
KS ST. LICENSE
KS
Enumeration date
02/14/2006
Last updated
07/08/2007
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