Provider Demographics
NPI:1710924196
Name:BARKER, ROBERT DUANE II (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DUANE
Last Name:BARKER
Suffix:II
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 1:1042 WILLOW CREEK RD A101-491
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1674
Mailing Address - Country:US
Mailing Address - Phone:928-899-8739
Mailing Address - Fax:928-277-4192
Practice Address - Street 1:1042 WILLOW CREEK RD A101-491
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1674
Practice Address - Country:US
Practice Address - Phone:928-899-8739
Practice Address - Fax:928-277-4192
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9210207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ23915L1Medicaid
AZ23915L1Medicaid
60BGMSMMedicare PIN