Individual
BRYAN D BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1901 E 32ND ST STE 4, JOPLIN, MO 64804-3071
(417) 781-0250
(417) 781-2581
Mailing address
PO BOX 2511, JOPLIN, MO 64803-2511
(417) 781-0250
(417) 781-2581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
115524
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119873
ANTHEM
—
05
—
244684304
—
MO
Enumeration date
06/27/2006
Last updated
11/08/2019
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