Provider Demographics
NPI:1770551665
Name:BARROW, ROBERT L (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:BARROW
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 1:600 AUTUMN RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3606
Mailing Address - Country:US
Mailing Address - Phone:501-221-2900
Mailing Address - Fax:501-221-0615
Practice Address - Street 1:600 AUTUMN RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3606
Practice Address - Country:US
Practice Address - Phone:501-221-2900
Practice Address - Fax:501-221-0615
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC7455208D00000X
ARC-7455208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5J458OtherARKANSAS BLUE CROSS
AR5J458OtherBLUE CROSS BLUE SHIELD
AR5J458OtherBLUE CROSS BLUE SHIELD
ARF82605Medicare UPIN