Individual
BLAKE WILLIAM BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, DCO58.00, COLUMBIA, MO 65201-5276
(573) 882-4438
(573) 884-9992
Mailing address
1 HOSPITAL DR, DCO58.00, COLUMBIA, MO 65201-5276
(573) 882-4438
(573) 884-9992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2011019428
MO
208000000X
Pediatrics Physician
2011019428
MO
Other
Enumeration date
06/27/2011
Last updated
07/13/2012
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