Provider Demographics
NPI:1801812938
Name:BARCLAY, GREGORY P (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:P
Last Name:BARCLAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1525 AIRPORT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-8231
Mailing Address - Country:US
Mailing Address - Phone:515-292-3023
Mailing Address - Fax:515-292-3053
Practice Address - Street 1:1525 AIRPORT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8231
Practice Address - Country:US
Practice Address - Phone:515-292-3023
Practice Address - Fax:515-292-3053
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA312162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIP308999OtherMBC OF IOWA
IA27051OtherHAWK-I
IA43478OtherWELLMARK BCBS
IA072702OtherHEALTH ALLIANCE
IA1137018Medicaid
IA49646OtherUNITED BEHAVIORAL HEALTH
IA71792OtherAPS
IA7659418OtherAETNA
IA71792OtherAPS