Individual
SAMUEL HIGGINS BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1104 N VERMILION ST, DANVILLE, IL 61832-3094
(217) 442-2631
(217) 442-0119
Mailing address
1104 N VERMILION ST, DANVILLE, IL 61832-3094
(217) 442-2631
(217) 442-0119
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036173314
IL
207W00000X
Ophthalmology Physician
2023012406
MO
207W00000X
Ophthalmology Physician
D0093855
MD
Other
Enumeration date
04/03/2018
Last updated
01/16/2025
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