Individual
BECCA BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 656-7020
(320) 255-5714
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 656-7020
(320) 255-5714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14645
MN
Other
Enumeration date
09/13/2023
Last updated
07/11/2024
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