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Individual

DR. JANE O BARNWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3100 N WEST ST STE 200B, FLAGSTAFF, AZ 86004-1651
(928) 714-7090
(928) 220-8879
Mailing address
PO BOX 23364, FLAGSTAFF, AZ 86002-3364
(928) 714-7090
(928) 220-8879

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AZ20721
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26987001
AZ
Enumeration date
05/18/2006
Last updated
01/31/2019
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