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Organization

BARTON HEALTHCARE SYSTEM

Active
Parent organization
BARTON HEALTHCARE SYSTEM
Organization subpart
Yes

Provider details

NPI number
Legal business name
BARTON HEALTHCARE SYSTEM
Authorized official
ASHLEY RUSSELL (CREDENTIALING SPECIALIST)
(530) 543-5636
Entity
Organization

Contact information

Practice address
155 HIGHWAY 50, STATELINE, NV 89449-9816
(530) 543-5850
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5850

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
02/23/2021
Last updated
02/23/2021
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