| Doctor Name: | DR. BARRY ANTHONY WAYNE |
| NPI Number: | 1497731178 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | C53647 |
| Business Practice Address: | Bldg 601 Mccain Blvd San Diego, CA - 92135 |
| Business Phone Number: | 6195450410 |
| Business Fax Number: | |
| Mailing Address: | 584 Corte Helena Ave, CHULA VISTA |
| State: | CA |
| Postal Code: | 919104902 |
| Phone Number: | 6192401811 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2005 |
| NPI Last Update Date: | 11/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | C53647 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |