Provider Demographics
NPI:1780758151
Name:BARNES, ARTHUR DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DAVID
Last Name:BARNES
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 1:4822 HOLLADAY BLVD .,#170
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-5469
Mailing Address - Country:US
Mailing Address - Phone:801-424-9424
Mailing Address - Fax:760-454-3691
Practice Address - Street 1:2 JENNIFER CT STE B
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7694
Practice Address - Country:US
Practice Address - Phone:717-218-9830
Practice Address - Fax:717-218-9833
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036607L207V00000X
UT3447081208207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19474OtherME0030183
CA28872Medicare ID - Type UnspecifiedA031955
FL19474OtherME0030183