Individual
DR. RANDY LEE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3277 E LOUISE DR STE 410, MERIDIAN, ID 83642-9360
(208) 489-5800
(208) 489-4065
Mailing address
3277 E LOUISE DR STE 410, MERIDIAN, ID 83642-9360
(208) 489-5800
(208) 489-4065
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M9867
ID
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
M-9867
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A889180
—
CA
05
—
808349300
—
ID
Enumeration date
10/27/2006
Last updated
07/21/2022
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