Provider Demographics
NPI:1548396799
Name:GABRIELLE S BARLOON MD PC
Entity Type:Organization
Organization Name:GABRIELLE S BARLOON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARLOON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-232-2051
Mailing Address - Street 1:600 5TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6085
Mailing Address - Country:US
Mailing Address - Phone:515-232-2051
Mailing Address - Fax:515-232-2775
Practice Address - Street 1:600 5TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6085
Practice Address - Country:US
Practice Address - Phone:515-232-2051
Practice Address - Fax:515-232-2775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA296872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty