Organization
EAR NOSE & THROAT & PLASTIC SURG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L BARNES DO (PRESIDENT)
(314) 821-5002
Entity
Organization
Contact information
Practice address
2325 DOUGHERTY FERRY RD STE 106, SAINT LOUIS, MO 63122-3356
(314) 821-5002
(314) 821-5029
Mailing address
2325 DOUGHERTY FERRY RD STE 106, SAINT LOUIS, MO 63122-3356
(314) 821-5002
(314) 821-5029
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040003579
MEDICARE RAILROAD
MO
01
—
040010750
MEDICARE RAILROAD
MO
01
—
040017959
MEDICARE RAILROAD
MO
05
—
502754401
—
MO
01
—
CP2222
MEDICARE RAILROAD
MO
Enumeration date
10/04/2006
Last updated
10/09/2025
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