DR. SAMANTHA ELIZABETH BARK DPM NPI 1720246929

NPI Information

DR. Samantha Elizabeth Bark, DPM is a foot and ankle surgery podiatrist in Galion, OH with 17 years of experience. DR. Samantha Elizabeth Bark, DPM NPI is 1720246929. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2007

The provider's business location address is:

955 HOSFORD RD
GALION, OH
ZIP 44833-325
Phone: (419) 468-7059
Fax: (419) 468-6962

The NPI 1720246929 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/26/2008 and was last updated on 12/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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