Individual
MR. BARRY FARYL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATHLETIC TRAINER
Contact information
Practice address
7052 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-3629
(804) 723-2200
Mailing address
6381 WILPAT RD, MECHANICSVILLE, VA 23111-5015
(804) 350-7539
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000401
VA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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