Provider Demographics
NPI:1821037417
Name:BARROW, JOHN HARLEY JR (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HARLEY
Last Name:BARROW
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:628 HOSPITAL DR
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-2953
Mailing Address - Country:US
Mailing Address - Phone:870-425-7300
Mailing Address - Fax:870-425-4431
Practice Address - Street 1:628 HOSPITAL DR
Practice Address - Street 2:SUITE 2A
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-2953
Practice Address - Country:US
Practice Address - Phone:870-425-7300
Practice Address - Fax:870-425-4431
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2024-02-07
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Provider Licenses
StateLicense IDTaxonomies
ARE2833174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR143910001Medicaid
AR5L857OtherAR BCBS #
AR5L857OtherAR BCBS #
ARBB6116063OtherDEA#