Provider Demographics
NPI:1437383932
Name:HUNTER, BART TIBERIUS (DC, FNP)
Entity Type:Individual
Prefix:DR
First Name:BART
Middle Name:TIBERIUS
Last Name:HUNTER
Suffix:
Gender:M
Credentials:DC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 E AJO WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-6204
Mailing Address - Country:US
Mailing Address - Phone:435-656-2424
Mailing Address - Fax:520-694-0635
Practice Address - Street 1:2800 E AJO WAY STE 103
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-6204
Practice Address - Country:US
Practice Address - Phone:520-694-4000
Practice Address - Fax:520-694-0635
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9122081-4405363L00000X
AZAPI0049207RR0500X
NDR39619363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily