Basic Information
Provider Information
NPI: 1861733172
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARGER
FirstName: JAMES
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1400 E KINCAID ST
Address2:  
City: MOUNT VERNON
State: WA
PostalCode: 982744127
CountryCode: US
TelephoneNumber: 3604282500
FaxNumber:  
Practice Location
Address1: 3823 172ND ST NE
Address2:  
City: ARLINGTON
State: WA
PostalCode: 982237735
CountryCode: US
TelephoneNumber: 3604282500
FaxNumber: 3606578750
Other Information
ProviderEnumerationDate: 03/12/2013
LastUpdateDate: 10/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X34.011960OHN Allopathic & Osteopathic PhysiciansGeneral Practice 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208600000XOP60815058WAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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