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Individual
DR. BENNETT R BARRIOS
Active
Individual
DR. BENNETT R BARRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
21750
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07104
BCBS OF NE
NE
01
—
233831
COVENTRY HEALTH CARE
—
01
—
77063443668510A002
TRI WEST
—
01
—
P00223632
RAILROAD MEDICARE
—
Enumeration date
07/24/2006
Last updated
06/16/2017
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