Individual
THEODORE D BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35670 KENAI SPUR HWY, SUITE 101A, SOLDOTNA, AK 99669-7626
(907) 262-2602
(907) 262-5794
Mailing address
35670 KENAI SPUR HWY, SUITE 101A, SOLDOTNA, AK 99669-7626
(907) 262-2602
(907) 262-5794
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1793
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152144
PIN
AK
Enumeration date
06/29/2006
Last updated
11/27/2013
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