Individual
THOMAS D BARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 S WHITE MOUNTAIN ROAD, SHOW LOW, AZ 85901
(928) 537-5437
(928) 537-5857
Mailing address
3401 S WHITE MOUNTAIN ROAD, SHOW LOW, AZ 85901
(928) 537-5437
(928) 537-5857
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14780
AZ
2080P0205X
Pediatric Endocrinology Physician
14780
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240391
—
AZ
Enumeration date
01/26/2006
Last updated
10/04/2011
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