Individual
THEOPHILE BARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-2176
(712) 542-8397
Mailing address
PO BOX 217, 220 ESSIE DAVISON DR.,, CLARINDA, IA 51632-2915
(712) 542-2176
(712) 542-8311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38630
IA
207Q00000X
Family Medicine Physician
L.3021R
AL
Other
Enumeration date
03/12/2009
Last updated
05/08/2014
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