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Individual

MARK BARBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1701 E 23RD AVE, HUTCHINSON, KS 67502-1105
(620) 665-2587
Mailing address
1105 SUNSET AVE, MANHATTAN, KS 66502-3739
(785) 532-6544

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0522851
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
053716
BLUE CROSS BLUE SHIELD
KS
05
100230670B
KS
01
1265498018
053716
KS
01
641410
FIRST GUARD
KS
Enumeration date
04/21/2006
Last updated
09/19/2013
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