Organization
KEITH D. BARKER OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH D BARKER OD PC (OWNER)
(505) 769-2339
Entity
Organization
Contact information
Practice address
621 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3758
(575) 769-2339
Mailing address
PO BOX 609, CLOVIS, NM 88102-0609
(575) 769-2339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2239T
NM
Other
Enumeration date
05/19/2008
Last updated
07/02/2014
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