MEDICARE: DR. ALAN L. BARNETT D.O.

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	2736	WV

General Provider Information

NPI Number	:	1568455442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN L. BARNETT D.O.

Provider Business Mailing Address
First Line	:	933 CHEAT RD
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26508-5631
Country	:	US
Telephone Number	:	304-594-2400
Fax Number	:	304-594-2256

Provider Business Practice Location Address
First Line	:	933 CHEAT RD
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26508-5631
Country	:	US
Telephone Number	:	304-594-2400
Fax Number	:	304-594-2256

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	04/06/2022

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