Otis R. Barnum ,d.O.
Internal Medicine in Natchitoches, LA. Organization (NPI-2).
NPI number1821180423
StatusActive
Last updated in NPPESDec 29, 2009
Details
- NPI
- 1821180423
- Entity type
- Organization (NPI-2)
- Legal business name
- Otis R. Barnum ,d.O.
- Organization subpart
- No
- Enumeration date
- Sep 29, 2006
- Last updated
- Dec 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Natchitoches Internal Medicine (Doing Business As)
Practice location
1029 Keyser AveSuite H
Natchitoches, LA 71457-6248
Phone 318-352-9880 · Fax 318-357-1347
Mailing address
1029 Keyser AveSuite H
Natchitoches, LA 71457-6248
Phone 318-352-9880 · Fax 318-357-1347
Authorized official
Otis R. Barnum
Ceo
3183529880
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