Individual
JESSICA BARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6698 KEATON CORPORATE PKWY, SUITE 101, O FALLON, MO 63368-8724
(636) 928-0215
(636) 928-0218
Mailing address
12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015021373
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2015021373
MO
207RP1001X
Pulmonary Disease Physician
Primary
2015021373
MO
Other
Enumeration date
04/16/2008
Last updated
04/21/2022
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