Individual
MR. PHILLIP DAVID BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 S ASH ST, NEVADA, MO 64772-3223
(417) 667-3355
Mailing address
800 S ASH ST, NEVADA, MO 64772-3223
(417) 667-3355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
117611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243932019
—
MO
01
—
9001E85456
CHAMPUS
MO
Enumeration date
01/03/2007
Last updated
01/19/2011
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