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Dr. Barry E Staley
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Barry E Staley |
Gender: | M |
Provider License Number If Given: | 35046709S |
NPI Information:
NPI: | 1699778878 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 9/6/2011 |
Provider Business Mailing Address:
Address: | 7589 TYLERS PLACE BLVD West Chester, OH 45069 |
Phone Number: | 5137554700 |
Fax Number: | 5137554717 |
Provider Business Practice Location Address:
Address: | 7589 TYLERS PLACE BLVD West Chester, OH 45069 |
Phone Number: | 5137554700 |
Fax Number: | 5137554717 |
Provider Taxonomy:
Primary: | 207Q00000X |
Secondary (if any): | |
State: | OH |