Individual
RANDALL F. BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 968-1144
(423) 968-3453
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 968-1144
(423) 968-3453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24613
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010075416
—
VA
01
—
138585
ANTHEM BCBS VA
VA
05
—
3892947
—
TN
01
—
4084949
BCBS TN
TN
01
—
P00135468
PGBA (RR MEDICARE)
—
01
—
RO7104
JOHN DEERE
—
Enumeration date
08/10/2005
Last updated
03/03/2011
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