Individual
SAMUEL FOX BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 POLE LINE RD W STE 2A, TWIN FALLS, ID 83301-4270
(208) 814-8740
(208) 814-8955
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Q7836
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
5561673
ID
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Q7836
TX
208D00000X
General Practice Physician
51120
AZ
Other
Enumeration date
06/06/2013
Last updated
11/15/2024
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