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Individual

RICHARD J BARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2031 ANDERSON RD, STE A, DAVIS, CA 95616-0672
(530) 757-3700
(530) 756-6907
Mailing address
365 TUOLUMNE ST, VALLEJO, CA 94590-5700
(707) 553-5044

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
C41905
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200005705
RAILROAD MEDICARE INDIVIDUAL PTAN
CA
05
8277322
CA
Enumeration date
02/27/2006
Last updated
02/21/2013
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