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Individual

SCOTT WILLIAM BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
777 BANNOCK ST # MC3240, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
6036 N 19TH AVE STE 505, PHOENIX, AZ 85015-2143
(022) 490-8396
(602) 249-0979

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
97
MT
363A00000X
Physician Assistant
PAC0206
ND
363AS0400X
Surgical Physician Assistant
3112-23
WI
363AS0400X
Surgical Physician Assistant
C08711
MD
363AS0400X
Surgical Physician Assistant
PA2020-0012
NM
363AS0400X
Surgical Physician Assistant
AZ
363AS0400X
Surgical Physician Assistant
Primary
CO

Other

Enumeration date
03/24/2006
Last updated
06/20/2023
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