Individual
OTIS R BARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
617 BIENVILLE ST, NATCHITOCHES, LA 71457-5739
(318) 352-9880
(318) 357-1347
Mailing address
617 BIENVILLE ST STE A, NATCHITOCHES, LA 71457-5740
(318) 352-9880
(318) 357-1347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018855
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361984
—
LA
Enumeration date
09/01/2005
Last updated
08/16/2021
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