Individual
STEPHEN AMBROSE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 621-2335
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4225
IA
207Q00000X
Family Medicine Physician
4225
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609197573
NPI
—
Enumeration date
06/15/2010
Last updated
06/30/2021
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