Organization
MARK R. BARKER, O.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK REE BARKER O.D. (SOLE OWNER)
(208) 267-2020
Entity
Organization
Contact information
Practice address
7177 MAIN ST., BONNERS FERRY, ID 83805
(208) 267-2020
(208) 267-8813
Mailing address
P. O. BOX U, BONNERS FERRY, ID 83805
(208) 267-2020
(208) 267-8813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODD-541
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001963000
—
ID
Enumeration date
02/12/2013
Last updated
02/12/2013
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