Provider Demographics
NPI:1144347592
Name:VOLOVAROVA, BARBORA (MD)
Entity type:Individual
Prefix:
First Name:BARBORA
Middle Name:
Last Name:VOLOVAROVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5299 OLYMPIC DR NW UNIT D
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-2305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1123 PACIFIC AVE
Practice Address - Street 2:SOUND PHYSICIANS
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4303
Practice Address - Country:US
Practice Address - Phone:800-850-9665
Practice Address - Fax:253-682-1714
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 60002274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine