Individual
DR. JOHN JUDSON BARCLAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2521 GLENN HENDREN DR STE 104, LIBERTY, MO 64068-3388
(816) 781-1001
(816) 671-4845
Mailing address
2521 GLENN HENDREN DR STE 104, LIBERTY, MO 64068-3388
(816) 781-1001
(816) 671-4845
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
2012011802
MO
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
5101017309
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47486021
BCBS
MO
01
—
P01085873
RR MEDCIARE
MO
Enumeration date
07/03/2007
Last updated
08/11/2021
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