Individual
DR. JANE MARIE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
HIGHWAY 61 AND 32, STE. GENEVIEVE, MO 63670
(573) 883-7786
Mailing address
1144 LAZY HOLLOW CT, O FALLON, IL 62269-7043
(618) 628-2193
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
112187
MO
207Q00000X
Family Medicine Physician
036-110429
IL
207Q00000X
Family Medicine Physician
Primary
112187
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110429
—
IL
01
—
08232205
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/22/2006
Last updated
04/06/2017
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