MEDICARE: DR. RALPH WILLIAM BARRON M.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
1	2084P0800X	Psychiatry Physician	G47970	CA

General Provider Information

NPI Number	:	1982618351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH WILLIAM BARRON M.D.

Provider Business Mailing Address
First Line	:	1042 MILLER AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94708-1516
Country	:	US
Telephone Number	:	858-550-0979
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	1042 MILLER AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94708-1516
Country	:	US
Telephone Number	:	858-550-0979
Fax Number	:	--

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/13/2020

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