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NPI Code Detail

MEDICARE: YVONNE A BARRY MD, PH.D.

MEDICARE: YVONNE A BARRY MD, PH.D.
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
1207Q00000XFamily Medicine Physician7600NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235111550
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVONNE A BARRY MD, PH.D.
Provider Business Mailing Address
First Line : 8379 W SUNSET RD STE 210
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2243
Country : US
Telephone Number : 725-200-3232
Fax Number : 725-220-6389
Provider Business Practice Location Address
First Line : 5915 S RAINBOW BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2558
Country : US
Telephone Number : 702-666-8808
Fax Number : 702-362-9954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 01/13/2023

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