Individual provider · NPI-1

Caleb Barker, PA-C

Physician Assistant · Muskogee, OK

NPI number1891346532
StatusActive
Last updated in NPPESJan 25, 2022

Details

NPI
1891346532
Entity type
Individual (NPI-1)
Name
Caleb Barker
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Sep 24, 2019
Certification date
Jan 13, 2022
Last updated
Jan 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant4726OKYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

201 N 32nd St
Muskogee, OK 74401-2104

Phone 918-912-2333

Mailing address

201 N 32nd St
Muskogee, OK 74401-2104

Phone 479-226-2818

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