Individual
TYLER L. BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1965 S FREMONT AVE, SUITE 230, SPRINGFIELD, MO 65804-2201
(417) 820-7250
(417) 820-7255
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011002935
MO
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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