Organization Name: | ROBERT S. BARRY MD, INC |
NPI Number: | 1043603327 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT S BARRY (MD/OWER) |
Mailing Address: | 1420 S Miller St Ste A Santa Maria |
State: | CA US |
Postal Code: | 934546960 |
Phone Number: | 8059223033 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2015 |
NPI Last Update Date: | 03/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | NP95002056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |