Doctor Name: | DR. RICHARD JOHN BARNETT |
NPI Number: | 1225109507 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 026204 |
Business Practice Address: | 96th Mdg/sgcxl - Dept Of Otolaryngology 307 Boatner Rd; Suite 114 Eglin Afb, FL - 32542 |
Business Phone Number: | 8508838264 |
Business Fax Number: | |
Mailing Address: | 96th Mdg/sgcxl - Dept Of Otolaryngology, 307 Boatner Rd; Suite 114 EGLIN AFB |
State: | FL |
Postal Code: | 32542 |
Phone Number: | 8508838264 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 07/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 026204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |