Jessica Barks, D.O. Valid NPI

Individual provider · Pulmonary Disease Physician · O Fallon, MO

NPI

1720252190

Type

Individual (Type 1)

Primary specialty

Pulmonary Disease Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RP1001X

License number

2015021373 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2008-04-16

Last updated

2022-04-21