Individual
DR. SUZANNE L BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
219 N 4TH ST, BELEN, NM 87002-4315
(505) 861-0332
(505) 861-1753
Mailing address
219 N 4TH ST, BELEN, NM 87002-4315
(505) 861-0332
(505) 861-1753
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
497
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1R77Z
BCBS PROVIDER #
NM
Enumeration date
04/04/2007
Last updated
07/08/2007
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