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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 |
