Individual
BARBARA JEAN BATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 727-6300
(505) 727-9588
Mailing address
4420 IRVING BLVD NW, ALBUQUERQUE, NM 87114-5915
(505) 727-6300
(505) 727-9588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
96-11
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000H5175
—
NM
01
—
425662YR41
MEDICARE PTAN
NM
Enumeration date
11/18/2005
Last updated
09/22/2015
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