Individual
THOMAS ALLEN BARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36 MEDICAL PLZ, HANOVER, IN 47243-9481
(812) 866-3301
Mailing address
315 HENRY ST, NORTH VERNON, IN 47265
(812) 346-7420
(812) 346-7439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01031124
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000094053
ANTHEM
IN
05
—
100072280A
—
IN
01
—
420004P
SIHO
IN
Enumeration date
02/14/2006
Last updated
08/08/2019
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