Provider Demographics
NPI:1497047617
Name:BARTON, GEORGE ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:ROBERT
Last Name:BARTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3685 STUTZ DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9155
Mailing Address - Country:US
Mailing Address - Phone:330-259-0440
Mailing Address - Fax:
Practice Address - Street 1:3685 STUTZ DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9155
Practice Address - Country:US
Practice Address - Phone:330-259-0440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.029960207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine