Individual
MARCUS KADE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 S UTAH AVE, IDAHO FALLS, ID 83402-5093
(208) 525-2600
Mailing address
765 S UTAH AVE, IDAHO FALLS, ID 83402-5093
(208) 525-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
4671535
ID
Other
Enumeration date
12/08/2023
Last updated
11/21/2024
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