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NPI Code Detail

MEDICARE: YVONNE BARRY, M.D., LTD.

MEDICARE: YVONNE BARRY, M.D., LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center7600NV

General Provider Information

NPI Number : 1568769636
Entity Type Code : Organization
Provider Name (Legal Business Name) : YVONNE BARRY, M.D., LTD.
Provider Business Mailing Address
First Line : 5538 DUNCAN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2812
Country : US
Telephone Number : 702-645-2606
Fax Number : 702-645-1478
Provider Business Practice Location Address
First Line : 5538 DUNCAN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2812
Country : US
Telephone Number : 702-645-2606
Fax Number : 702-645-1478
Authorized Official
Title or Position : OWNER
Name : DR. YVONNE BARRY
Credential : M.D.
Telephone Number : 702-645-2606
Provider Enumeration Date : 02/24/2011
Last Update Date : 02/24/2011

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