Individual
BARBARA MOON SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2039 CANAL ST, SUITE C, MERCED, CA 95340-3726
(209) 723-7761
(209) 381-0322
Mailing address
3144 G ST, #125-334, MERCED, CA 95340-1300
(209) 723-7761
(209) 381-0322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G063855
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G638550
—
CA
01
—
770320287
TAX ID
CA
Enumeration date
04/08/2006
Last updated
03/25/2009
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