Individual
LARRY G BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
336 S JEFFERSON, NEOSHO, MO 64850
(417) 455-4200
(417) 455-4314
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 455-4200
(417) 455-4314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100238
ANTHEM
—
01
—
P00248173
RR MEDICARE
—
Enumeration date
05/09/2006
Last updated
10/16/2007
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