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Individual

DR. DOUGLAS C BARNHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MARIO CAPECCHI DR, SUITE 2600, SALT LAKE CITY, UT 84113-1103
(801) 662-2950
(801) 662-2980
Mailing address
100 MARIO CAPECCHI DR, SUITE 2600, SALT LAKE CITY, UT 84113-1103
(801) 662-2950
(801) 662-2980

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
23984
AL
2086S0120X
Pediatric Surgery Physician
Primary
159721-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009946925
AL
05
009970605
AL
01
01780854
MISSISSIPPI MEDICAID
MS
01
020049268
RAILROAD MEDICARE
AL
01
051502441
BLUE CROSS
AL
05
051502441
AL
01
051520462
BLUE CROSS
AL
01
051520463
BLUE CROSS
AL
05
1750398517
UT
05
808118600
ID
Enumeration date
08/02/2006
Last updated
10/19/2021
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