Doctor Name: | BARRY BLAINE BILLINGTON |
NPI Number: | 1598774499 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G616950 |
Business Practice Address: | 1115 Whiskeytown Court Suite A Redding, CA - 96001 |
Business Phone Number: | 5302433988 |
Business Fax Number: | 5302431063 |
Mailing Address: | 1115 Whiskeytown Court, Suite A REDDING |
State: | CA |
Postal Code: | 96001 |
Phone Number: | 5302433988 |
Fax Number: | 5302431063 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G616950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |