Gale Annette Barker, CDA

Individual provider Active NPI Preferred Provider Organization · Winslow, AR

NPI 1508010398 · NPPES record last updated Jan 16, 2009

Key facts

NPI
1508010398
Entity type
Individual (NPI type 1)
Primary specialty
Preferred Provider Organization 305R00000X
License
12688 (AR)
Practice address
178 Pinehaven Dr
Winslow, AR 72959-2500
Phone
(479) 634-2007
Fax
(479) 634-2007
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12688ARMDPreferred Provider Organization

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 12688 AR Yes

Addresses

Primary practice location

178 Pinehaven Dr
Winslow, AR 72959-2500

Mailing address

178 Pinehaven Dr
Winslow, AR 72959-2500
Phone (479) 634-2007

Other providers in Winslow, AR

All providers in Winslow, AR · Preferred Provider Organization in Arkansas

Sources for this page

Verify at the official NPI Registry.