Provider Demographics
NPI:1376725895
Name:BARBARA R KLUGER
Entity Type:Organization
Organization Name:BARBARA R KLUGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:KLUGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:602-863-3668
Mailing Address - Street 1:13825 N 7TH ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4342
Mailing Address - Country:US
Mailing Address - Phone:602-863-3668
Mailing Address - Fax:602-863-6651
Practice Address - Street 1:13825 N 7TH ST
Practice Address - Street 2:SUITE J
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4342
Practice Address - Country:US
Practice Address - Phone:602-863-3668
Practice Address - Fax:602-863-6651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5384410001Medicare NSC