Individual
MR. BRIAN A BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
818 MAIN ST, SUITE F, SALMON, ID 83467-4350
(208) 756-1428
Mailing address
818 MAIN ST, SUITE F, SALMON, ID 83467-4350
(208) 756-1428
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
06485
IA
111N00000X
Chiropractor
1171
MT
111N00000X
Chiropractor
Primary
CHIA 1282
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253823
—
IA
Enumeration date
10/04/2006
Last updated
01/08/2020
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