Provider Demographics
NPI:1518178318
Name:BARR, JOHN CARLO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CARLO
Last Name:BARR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 N LIMESTONE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-4676
Mailing Address - Country:US
Mailing Address - Phone:501-844-9040
Mailing Address - Fax:
Practice Address - Street 1:3336 N FUTRALL DR
Practice Address - Street 2:NORTHWEST ARKANSAS NEUROSCIENCE INSTITUTE
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4057
Practice Address - Country:US
Practice Address - Phone:479-463-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD49531207T00000X
ARE-8425207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery