Individual provider · NPI-1

Mark Thomas Barrett, MD

Radiology, Diagnostic Radiology · Springfield, MO

NPI number1447415203
StatusActive
Last updated in NPPESAug 19, 2022

Details

NPI
1447415203
Entity type
Individual (NPI-1)
Name
Mark Thomas Barrett
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 22, 2008
Certification date
Aug 19, 2022
Last updated
Aug 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology2012025579MOYes
2085R0202X Radiology, Diagnostic Radiology2008016692MO

Practice location

3850 S National Ave
Suite 300
Springfield, MO 65807-5287

Phone 417-269-6170 · Fax 417-269-6992

Mailing address

Po Box 3262
Springfield, MO 65808-3262

Phone 417-631-0299 · Fax 417-881-7268

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