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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

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