Individual
BARRY ELLIS LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 N WYATT DR, CHILDREN'S CLINICS, TUCSON, AZ 85712-6106
(520) 324-5437
(520) 324-3129
Mailing address
2600 N WYATT DR, CHILDREN'S CLINICS, TUCSON, AZ 85712-6106
(520) 324-5437
(520) 324-3129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41335
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396294
—
AZ
Enumeration date
11/10/2006
Last updated
01/09/2013
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