Individual
DR. CODY JAMISON BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE, STE 420, SAINT LOUIS, MO 63108-1495
(314) 747-2829
(314) 362-5743
Mailing address
660 S EUCLID AVE, CB 8109, SAINT LOUIS, MO 63110-1010
(314) 747-2829
(314) 362-5743
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2018036776
MO
208600000X
Surgery Physician
Primary
2018036776
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200030660
—
MO
Enumeration date
06/21/2013
Last updated
01/17/2023
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