Individual
DR. DENNIS A BARRACO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 ROSE LN, WICKENBURG REGIONAL MED CENTER, WICKENBURG, AZ 85390-1447
(928) 684-5421
Mailing address
34522 N SCOTTSDALE RD, SUITE D 8 #614, SCOTTSDALE, AZ 85262-4284
(480) 595-1016
(480) 595-1019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2099
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257106
—
AZ
01
—
3981220
EVERCARE GROUP #
AZ
01
—
AW1436
HEALTHNET GROUP #
AZ
01
—
AZ02728670
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/23/2005
Last updated
07/08/2007
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