Individual
ROBERT BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 362-1990
Mailing address
500 SPRING HILL DR, MADISON, MS 39110-8622
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
086438
MS
Other
Enumeration date
11/24/2010
Last updated
02/14/2011
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