Individual
DR. PHILIP L. BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 W JANSS RD, SUITE 320, THOUSAND OAKS, CA 91360-1848
(805) 497-2500
(805) 497-2558
Mailing address
227 WEST JANSS ROAD, SUITE 320, THOUSAND OAKS, CA 91360-1870
(805) 497-2500
(805) 497-2558
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G20534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953173076
AETNA
—
01
—
ZZZ47190Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/18/2005
Last updated
05/20/2010
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