Individual
DR. BARRY MEADE LITTLEJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 E EVERGREEN ST, CAMERON, MO 64429-2400
(816) 632-2100
(816) 632-6123
Mailing address
1600 E EVERGREEN ST, CAMERON, MO 64429-2400
(816) 632-2100
(816) 632-6123
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036071363
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
2019046561
MO
207V00000X
Obstetrics & Gynecology Physician
37577
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071363
—
IL
05
—
200078643
—
MO
01
—
785000124
MEDICARE
MO
Enumeration date
10/23/2006
Last updated
12/22/2022
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