Individual
DR. GARY MARK BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12497TPA
CA
152W00000X
Optometrist
1343
AZ
152W00000X
Optometrist
Primary
P659A
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12497TPA
OPTOMETRY LICENSE NUMBER
CA
01
—
1343
OPTOMETRY LICENSE NUMBER
AZ
01
—
P659A
THERAPEUTIC DRUG LICENSE
AZ
Enumeration date
02/08/2007
Last updated
01/31/2014
Update your record
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