Individual
COURTNEY BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4893 TRANSIT RD, DEPEW, NY 14043-4698
(716) 608-7040
Mailing address
4893 TRANSIT RD, DEPEW, NY 14043-4698
(716) 608-7040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019533
NY
Other
Enumeration date
03/03/2016
Last updated
07/29/2019
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