Organization
BARBARA MCDOWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J MCDOWELL (PROVIDER)
(314) 680-1177
Entity
Organization
Contact information
Practice address
6290 RONALD REAGAN DR, SUITE 222, LAKE ST LOUIS, MO 63367-2667
(314) 680-1177
(636) 230-0421
Mailing address
6290 RONALD REAGAN DR, SUITE 222, LAKE ST LOUIS, MO 63367-2667
(314) 680-1177
(636) 230-0421
Taxonomy
Speciality
Code
Description
License number
State
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN052085
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156059
ANTHEM BLUE CROSS AND BLUE SHIELD
—
05
—
4246752221
—
MO
01
—
890000994
FEDERAL MEDICARE
—
Enumeration date
06/17/2010
Last updated
07/24/2014
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