Individual
DAVID L BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3719 E MERIDIAN LOOP STE A, WASILLA, AK 99654-7273
(907) 376-2868
(907) 376-2811
Mailing address
3719 E MERIDIAN LOOP STE A, WASILLA, AK 99654-7273
(907) 376-2868
(907) 376-2811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2640
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050582551
TAX ID
AK
01
—
610517800
DEPARTMENT OF LABOR
AK
01
—
DD1707
MEDICARE RAILROAD
AK
05
—
MD2640
—
AK
Enumeration date
04/10/2006
Last updated
04/12/2024
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