Individual
JEFFREY JAMES BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 PARNASSUS AVE, MU323W, SAN FRANCISCO, CA 94143
(415) 353-2808
Mailing address
500 PARNASSUS AVE, MU323W, SAN FRANCISCO, CA 94143
(415) 353-2808
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2017-00172
NC
207X00000X
Orthopaedic Surgery Physician
Primary
A128858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598031304
—
NC
01
—
2017-00172
MEDICAL LICENSE
NC
05
—
NC3021
—
SC
Enumeration date
03/26/2012
Last updated
12/06/2021
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