MEDICARE: GABRIELLE S BARLOON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	29687	IA

General Provider Information

NPI Number	:	1114921822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE S BARLOON M.D.

Provider Business Mailing Address
First Line	:	600 5TH ST
Second Line	:	STE 200
City	:	AMES
State	:	IA
Zip	:	50010-6072
Country	:	US
Telephone Number	:	515-232-2051
Fax Number	:	515-232-2775

Provider Business Practice Location Address
First Line	:	600 5TH ST
Second Line	:	STE 200
City	:	AMES
State	:	IA
Zip	:	50010-6072
Country	:	US
Telephone Number	:	515-232-2051
Fax Number	:	515-232-2775

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/21/2011

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