Susan B Barksdale, PHYSICAN ASSISTANT

NPI #1235136300 in Hartford, Connecticut

Provider Information

NPI Number: 1235136300
Entity Type: Individual
Name: Susan B Barksdale, PHYSICAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICAN ASSISTANT
Enumeration Date: Jul 5, 2005
Last Updated: Mar 7, 2012

Practice Location

Address: 85 SEYMOUR ST
Address 2: SUITE 607
City: Hartford
State: Connecticut
ZIP Code: 06106-5501
Phone: (860) 549-3210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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