Individual
JOHN BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
740 S HILL ST, SALEM, SD 57058-8760
(605) 425-2855
Mailing address
PO BOX 86430, SIOUX FALLS, SD 57118-6430
(605) 322-4900
(605) 322-4910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0067
SD
363AM0700X
Medical Physician Assistant
Primary
0067
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6828002
—
SD
01
—
P00294626
RAILROAD MEDICARE
—
Enumeration date
06/28/2006
Last updated
04/15/2010
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