Individual
BARRY BLYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1457 G ST, SPRINGFIELD, OR 97477-4113
(541) 334-3351
(541) 334-4478
Mailing address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 334-3350
(541) 746-4569
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
MD27699
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007157
—
OR
01
—
MD27699
MEDICAL LICENSE
OR
01
—
R233243
MEDICARE
OR
Enumeration date
04/25/2006
Last updated
09/28/2022
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