Organization
BARTON MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY NEIGER (CHIEF FINANCIAL OFFICER)
(530) 543-5923
Entity
Organization
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 541-3420
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 539-6620
(530) 543-5717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/17/2021
Last updated
02/15/2024
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