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Individual
JOHN RUSSELL BARLEY IV
Active
Individual
JOHN RUSSELL BARLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102203634
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0102203634
VA
Other
Enumeration date
06/25/2012
Last updated
11/10/2016
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