DR. Jeffrey R Barra, M.D.

NPI #1679548713 in Mount Vernon, Illinois

Provider Information

NPI Number
1679548713
Entity Type
Individual
Name
DR. Jeffrey R Barra, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Feb 22, 2006
Last Updated
May 13, 2015

Practice Location

Address
5100 LAKE TER NE
Address 2
SUITE WC
ZIP Code
62864-9665
Phone
(618) 899-5001

Specialties & Taxonomy Codes

Specialty
Family Medicine

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