Individual
ROGER O BARILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1801 US HIGHWAY 18 E, CLEAR LAKE, IA 50428-2162
(641) 357-1999
(641) 357-1999
Mailing address
1801 US HIGHWAY 18 E, CLEAR LAKE, IA 50428-2162
(641) 357-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A086935
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460956
—
IA
01
—
P00427171
RAILROAD MEDICARE
IA
Enumeration date
06/01/2006
Last updated
02/08/2022
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