Individual
JUSTIN CODY BAREBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
458 TOWNSHIP ROAD 1525, PROCTORVILLE, OH 45669-8072
(304) 942-5333
Mailing address
458 TOWNSHIP ROAD 1525, PROCTORVILLE, OH 45669-8072
(304) 942-5333
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
92682
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
109962
WV
Other
Enumeration date
03/22/2021
Last updated
07/14/2021
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