Provider Demographics
NPI:1750323317
Name:MEDLIN, BARBARA B (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:B
Last Name:MEDLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:7000 UULA STREET
Mailing Address - City:BARROW
Mailing Address - State:AK
Mailing Address - Zip Code:99723-0029
Mailing Address - Country:US
Mailing Address - Phone:907-852-4611
Mailing Address - Fax:907-852-6222
Practice Address - Street 1:7000 UULA ST.
Practice Address - Street 2:
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723-0029
Practice Address - Country:US
Practice Address - Phone:907-852-4611
Practice Address - Fax:907-852-6222
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM90-83207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NME61319Medicare UPIN