Individual
DERRICK LEE BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 S POLLARD ST, VINTON, VA 24179-2502
(540) 983-6700
Mailing address
415 S POLLARD ST, VINTON, VA 24179-2502
(540) 983-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007000
VA
363AM0700X
Medical Physician Assistant
0110007000
VA
Other
Enumeration date
11/13/2019
Last updated
08/16/2021
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