Individual
MR. MARK MILLER BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1550
Mailing address
PO BOX 112727, GAINESVILLE, FL 32611-2727
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9119800
FL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/03/2013
Last updated
03/05/2026
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