NPI 1043572407
Mark Barnes, CNIMREPT
Practice location
- Address
- 3319 E Gillette St, Broken Arrow, OK 74014-8754
- Phone
- (918) 809-4479
Registered specialties
Electroneurodiagnostic Specialist/Technologist
Primary
Registry record
- NPI
- 1043572407
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jun 2012
- Record last updated
- 12 Jun 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.