Individual
NICHOLAS SHANE BARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 BURRO ALY, MORENCI, AZ 85540-9647
(928) 865-9184
Mailing address
1000 N LEE AVE RM 1980, OKLAHOMA CITY, OK 73102-1036
(405) 272-7452
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
67371
AZ
208D00000X
General Practice Physician
Primary
67371
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2021
Last updated
11/02/2022
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