Individual
SUSAN B BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAN ASSISTANT
Contact information
Practice address
85 SEYMOUR ST, SUITE 607, HARTFORD, CT 06106-5501
(860) 549-3210
(860) 247-3803
Mailing address
85 SEYMOUR ST, SUITE 607, HARTFORD, CT 06106-5501
(860) 549-3210
(860) 247-3803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000153
CT
363AM0700X
Medical Physician Assistant
000153
CT
Other
Enumeration date
07/05/2005
Last updated
03/07/2012
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