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Individual
MR. BARRY EUGENE THOMPSON
Active
Individual
MR. BARRY EUGENE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01323
MD
363AM0700X
Medical Physician Assistant
C0001323
MD
Other
Enumeration date
02/06/2006
Last updated
09/21/2020
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