Provider Demographics
NPI:1629163068
Name:BARBERII, JOHN K (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:BARBERII
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:302 EL CAMINO REAL
Mailing Address - Street 2:STE 5
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2860
Mailing Address - Country:US
Mailing Address - Phone:520-458-4355
Mailing Address - Fax:520-452-2232
Practice Address - Street 1:302 EL CAMINO REAL
Practice Address - Street 2:SUITE 11CD
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-1830
Practice Address - Country:US
Practice Address - Phone:520-458-9644
Practice Address - Fax:520-417-4356
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2010-10-04
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Provider Licenses
StateLicense IDTaxonomies
AZ16235207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ263666Medicaid
AZ263666Medicaid
Z127319Medicare PIN