Individual
MICHAEL BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, APRN, CRNA
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403
(928) 855-8185
Mailing address
645 E. MISSOURI AVENUE, SUITE 300, PHOENIX, AZ 85012
(602) 262-8903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
213671
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
221716
AZ
Other
Enumeration date
12/19/2018
Last updated
12/16/2019
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