Doctor Name: | DR. TODD S. BARRY |
NPI Number: | 1598869091 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PH.D. |
License Number: | MD00035593 |
Business Practice Address: | 213 Technology Dr Suite 200 Irvine, CA - 926182437 |
Business Phone Number: | 9496378633 |
Business Fax Number: | 9492089790 |
Mailing Address: | Po Box 1000, MEDFORD |
State: | OR |
Postal Code: | 975010071 |
Phone Number: | 5417704559 |
Fax Number: | 5417704511 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00035593 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |