Individual
JEREMY GABRIEL BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3350 HARRISON ST APT 124, KINGMAN, AZ 86409-3688
(602) 301-5909
Mailing address
3350 HARRISON ST APT 124, KINGMAN, AZ 86409-3688
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4635
AZ
Other
Enumeration date
06/05/2007
Last updated
06/30/2009
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