MEDICARE: DR. SEAN ARTHUR BARLOW 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	2084P0802X	Addiction Psychiatry Physician	59722	TN
2	2084P0802X	Addiction Psychiatry Physician	G78296	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386653178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN ARTHUR BARLOW M.D.

Provider Business Mailing Address
First Line	:	41990 COOK ST # F2008
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6100
Country	:	US
Telephone Number	:	760-674-9777
Fax Number	:

Provider Business Practice Location Address
First Line	:	41990 COOK ST
Second Line	:	BUILDING F SUITE 2008
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6100
Country	:	US
Telephone Number	:	760-674-9777
Fax Number	:	760-674-0355

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	04/15/2021

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