Healthcare Provider Details
I. General information
NPI: 1386956167
Provider Name (Legal Business Name): ERIN ELIZABETH BARKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/08/2010
Last Update Date: 06/29/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 CHILDRENS PL # 3S34
SAINT LOUIS MO
63110-1002
US
IV. Provider business mailing address
1 CHILDRENS PL # 3S34
SAINT LOUIS MO
63110-1002
US
V. Phone/Fax
- Phone: 314-454-6006
- Fax: 314-454-4102
- Phone: 314-454-6006
- Fax: 314-454-4102
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP3000X |
| Taxonomy | Pediatric Anesthesiology Physician |
| License Number | 283966 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 2010017207 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: