Individual
MR. GARY W BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 N KANSAS AVE, HASTINGS, NE 68901-2615
(402) 462-5555
Mailing address
2115 N KANSAS AVE, HASTINGS, NE 68901-2615
(402) 462-5555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14009
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00580
BLUE CROSS BLUE SHIELD NE
NE
Enumeration date
08/11/2005
Last updated
12/04/2007
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