Individual
THOMAS JOHN BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16582 GOTHARD STREET, SUITE C, HUNTINGTON BEACH, CA 92647-8559
(714) 841-6360
(714) 840-8900
Mailing address
17331 WILD ROSE LANE, HUNTINGTON BEACH, CA 92649-4653
(714) 841-6360
(714) 840-8900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
55154
CA
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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