Individual
VIVEK BARCLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1710 W 12TH ST, LAUREL, MS 39440-2559
(601) 369-2021
Mailing address
1710 W 12TH ST, LAUREL, MS 39440-2559
(601) 369-2021
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16318
MS
208VP0014X
Interventional Pain Medicine Physician
16318
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120357
—
MS
05
—
01224218
—
MS
01
—
412044822
BLUE CROSS & BLUE SHIELD
MS
Enumeration date
07/06/2006
Last updated
05/18/2011
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