Basic Information
Provider Information
NPI: 1346222650
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNS
FirstName: PHILIP
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 E MARKET ST
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522452633
CountryCode: US
TelephoneNumber: 3193390300
FaxNumber: 3193390300
Practice Location
Address1: 500 E MARKET ST
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522452633
CountryCode: US
TelephoneNumber: 3193390300
FaxNumber: 3193390300
Other Information
ProviderEnumerationDate: 11/14/2005
LastUpdateDate: 12/13/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X31477IAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
93009750201IARRMCOTHER
4735601IABXOTHER
017831905IA MEDICAID


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