# OTIS R. BARNUM ,D.O.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Natchitoches Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821180423
- **Authorized official:** DR. OTIS R. BARNUM M.D. (CEO)
- **Authorized official phone:** (318) 352-9880

## Contact information

- **Practice address:** 1029 KEYSER AVE, SUITE H, NATCHITOCHES, LA 71457-6248
- **Practice address phone:** (318) 352-9880
- **Practice address fax:** (318) 357-1347
- **Mailing address:** 1029 KEYSER AVE, SUITE H, NATCHITOCHES, LA 71457-6248
- **Mailing address phone:** (318) 352-9880
- **Mailing address fax:** (318) 357-1347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 12/29/2009