Individual
DR. JASON ALLEN BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8290 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN 55432-1847
(763) 786-9543
(763) 786-3320
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
50475
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
50475
MN
Other
Enumeration date
09/13/2006
Last updated
08/16/2024
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