Organization
EAR, NOSE & THROAT ASSOCIATES OF MOUNTAIN HOME, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTY BARKER M.D. (PRESIDENT)
(870) 424-4200
Entity
Organization
Contact information
Practice address
626 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 424-4200
(870) 424-4327
Mailing address
626 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 424-4200
(870) 424-4327
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
AR
207YP0228X
Pediatric Otolaryngology Physician
—
AR
207YS0123X
Facial Plastic Surgery Physician
—
AR
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
AR
207YX0602X
Otolaryngic Allergy Physician
—
AR
207YX0901X
Otology & Neurotology Physician
—
AR
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
AR
231H00000X
Audiologist
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5B115
BLUE CROSS BLUE SHIELD
AR
01
—
CI8730
RAILROAD MEDICARE
—
Enumeration date
07/20/2005
Last updated
07/16/2007
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