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Individual

DR. BARRY ANTHONY WAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
BLDG 601 MCCAIN BLVD, SAN DIEGO, CA 92135
(619) 545-0410
Mailing address
584 CORTE HELENA AVE, CHULA VISTA, CA 91910-4902
(619) 240-1811

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
027016
GA
208D00000X
General Practice Physician
C53647
CA

Other

Enumeration date
12/15/2005
Last updated
11/03/2010
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