Organization
REGINALD WB BARNES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD WILLIE BERNARD BARNES MD (PRESIDENT)
(501) 663-3510
Entity
Organization
Contact information
Practice address
ONE ST VINCENT CIRCLE SUITE 360, LITTLE ROCK, AR 72205
(501) 663-3510
(501) 663-3741
Mailing address
ONE ST VINCENT CIRCLE SUITE 360, LITTLE ROCK, AR 72205
(501) 663-3510
(501) 663-3741
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C6211
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15375000000
QUALCHOICE
AR
01
—
3720020
UNITED HEALTH
GA
01
—
53633
BLUE CROSS
AR
Enumeration date
09/20/2006
Last updated
08/22/2020
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