Organization
THEODORE BARTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY RATKY (BILLING MANAGER)
(907) 262-2602
Entity
Organization
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
367A00000X
Advanced Practice Midwife
Primary
5721
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1793
—
AK
05
—
NP5721
—
AK
Enumeration date
10/09/2007
Last updated
03/18/2020
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