Individual
TREVOR BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5486 BUCKEYE ST RM 123, DAYTON, OH 45433-5411
(702) 576-6625
Mailing address
559 VINCENT ST., SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914-5411
(702) 576-6625
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
10/10/2023
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