MEDICARE: ASHLEY MARIE BARR PA

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
1	363A00000X	Physician Assistant	50.008695RX	OH

General Provider Information

NPI Number	:	1871350926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MARIE BARR PA

Provider Business Mailing Address
First Line	:	205 WALNUT ST
Second Line	:
City	:	PLEASANT HILL
State	:	OH
Zip	:	45359-9796
Country	:	US
Telephone Number	:	937-469-2054
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 S STANFIELD RD STE 301
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-2334
Country	:	US
Telephone Number	:	937-469-2054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	03/05/2024

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